SushrutSamhitaTritiyaKhanda1 Text

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VlSWABHARATI LIBRARY
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AN ENGLISH TRANSLATION
01'
THE SUSHRUTA SAMHITA

Vol.
TIF.
UTTARA-TANTRA
AN ENGLISH TRANSLATION
01''
THE SUSHRUTA SAMHITA

WITH
A FULL AND COMPREHENSIVE INTRODUCTION, ADDITIONAL TEXTS, DIFFERENT READINGS, NOTES, COMPARATIVE
VIEWS, INDEX, GLOSSARY
AND PLATES
(IN
THREE VOLUMES)
EDITED
I!V
KAVIRAJ KUNJA LAL MI1SHAGRATN A,

M. K. A.
S.
(Lond.)
Vol.
III.
TITTARA-TANTRA
PUBLISHED BY
S. L.
BHADURI,
. L.
10,
KASHI GHOSE'S LANE, CALCUTTA
1916
All Rights Reserved.
PRINTED AT THE BHARAT M1IIIR PRESS BY
M.
BHATTACHARYYA OF
Messrs. SANYAL & Co., 25, ROY P.AGAN STREET, CALCUTTA.
Kaviraj Kunja Lall Bhishagratna, M.R.R.S. (Lond.)
PKEFACE.
It
was some years ago that we took upon ourof bringing
selves the rather ambitious task

the Sushruta Samhita
in
out
English.
the
And we may
first
mention that the appreciation
instal-
ment
of our undertaking
met with
at the
hands of
scholars at
home and abroad

completing
this
considerably encour-
aged us
in
huge undertaking.
our deepest feelings
We
Sir
desire to record here
of gratitude towards His
Highness the Maharaja

I.,
Sawai
Jai
Singh
Bahadoor, K. C. S.
has,
of
Alwar (Rajputana), who

ant
by
his
princely
donation, enabled us to bring this
highly import-
work
to a completion.
illustrious
It is
known throughis
out India that the
Ruler of Alwar
a great patron of letters and a lover of Ayurvedic

Science,
and many noble undertakings

largely
in
our
country have depended

support. press
upon
his
liberal
No
words of mine can adequately exis
my
admiration for the good he
doing
to
our country.
Now
its
that the whole
work
is
before the public,
worth and importance
will
be duly judged
Our
as
translation does not claim to
have *any
liter-
ary excellence, as our sole aim has been to render

faithfully
as
we
could the original into one
of the
European languages.
in
The
technical terms
occurring
the
Sushruta Samhita cannot
be
accurately
translated into
in
English, as
there are
no corresponding words
that language
which
would convey the exact meaning of the original. We have therefore retained the Sanskrit terms,
and have
in
some
cases put within brackets such
English words as may approximately render the meaning of the original. No apology is needed for placing before
the learned world of the of ancient India.
the
of
We
West a scientific treatise may only mention that

is is
Hindu system of medicine mere antiquarian interest. It

being treated according
not a thing
a living
sys-
tem,
are
and even to-day millions of people
in India
to this system.
A
and
system which has stood the
test of centuries,
which
still
holds
its
own
against rival systems of
the day, cinnot be lightly brushed aside as wholly

unscientific.
It
has been said
that
system
which recognises prayer as one of the means of curing human ailments, can lay no claim to
any
in
scientific character.
All
that
is
we need say
humanity has
in
answer
to
this
criticism
that
not yet risen above prayer in world,
any country
prayer
in
the
and
is,
faith in the efficacy of
curing
diseases
in
instead of dying out,

scientific world.
gaining ground
the
be,
modern
may
in actual practice,
Whatever that Hindu medical men,
like their brethren of
Europe, rely chiefly upon medicine and surgery, but occasionally prescribe
prayer also as an efficient form of remedy.
While
recognising the influence of mind on body, and the
Ill
efficacy of faith in certain forms of

treat
it
disease,
they
as a special method, falling
more properly
to
within the province of priests.
few words,
however,
seem necessary
show what abiding interest there is for all time We do in such a work as the Sushruta Samhita. not wish to enter into any historical criticism to
prove that the different systems
other countries, of medicine in
new
or old, have received
more
than a mere stimulus
from
the Indian
System,
and that many foreign discoveries may be traced to the work we are now presenting to the world.
The
opinions of
some modern men of

demonstrate
its
science,
who
cannot be accused of having any bias in favour

of our system, will
abiding value.
Lukis,
Surgeon General Sir Pardey

T.
M.
D.,
M.
S.,
K. C. S.
Service,
1.,
Director-General of Indian
to
Medical
was pleased
in
remark
in the
course nf his speech
Council
the
Imperial
Legislative
"
Many
of the
so-called discoveries of
recent years are merely re-discoveries of the facts
known
British
centuries
ago
to
the
ancients
this
(Indians)."
In noticing the
first
volume of
very work, the

its
Medical Journal observed in
November, 1912: "It is certain that in this ancient medical book there are traces of kpowledge which is comparatively recent in the West." We do not know what reception will be accorded to this work by the public, but
fairly
issue
of
we may
Indian
hope that now that
the
ancient
Medical
System and the Indigenous Drugs of
IV
this
country arc being investigated by
scientific
experts
of
under the direction of the Government

this
will
India,
ancient
system of Medicine and
Surgery
attract the attention of those

it
who
have hitherto neglected

from
as
unworthy of
notice.
The encouragement which we have
received
the Governments of Bengal and Nepal and
from the States of Baroda and Mysore, has helped

us a great
deal
and we take
us
in
this
opportunity
of expressing our active
gratitude towards them.
The
help
extended to
the preparation
of this
work by Vaidyaratna Kaviraj Jogindra Nath Sen, Vidyabhusan, M. A., Kaviraj Madhav Chandra Tarkatirtha, Kaviraj Jnanendranath Sen,
Kaviratna, B. A., Prof. Satyendranath Sen, Vidytivagis'a,
M.
B.
A.,
L.,
B. A.,
and Babu Sachindralal Bhaduri, we also specially and thankfully
acknowledge.
to Dr.
We offer
our sincerest thanks also

P.,
U. D. Banerjeo, L. R. C.
M. R. C.
S.
Dr. Y.
M.
Bose, M. D. (Chicago^, and Kaviraj
Goswami, Yidyavinode. B. A., L. M. S. who have never failed to give us their valuable suggestions whenever we have sought
Surendranath
their advice.
JO,
KASHl GHCSE'S Calcutta,
I.ANE,
[
KUNJA LAL BHISHAGRATNA,
May
35, /p/6.
CONTENTS.
(Uttara-Tantra.)
Diseases of the eyes, etc. : Diseases of the eye and its appendages Description of Drishti Mandalas and Sandhis Description of
CHAPTER
I.
Premonitory symptomsCauses of eye-diseasesClassification PittajaKaphajaKaktaja and Tri-doshaja eyediseases Seals of the eye-diseases. 8
Patalas
Prognosis of Vataja
...
...
...
CHAPTER
ture
II.
Pathology of the diseases of the eye-joints : Their nomencla... Number Symptoms. ... ... ... 9 n
CHAPTER
III.
Pathology Of the diseases Of the eye-lids : Causes and names
Specific symptoms of Utsangini Kumbhika Pjthaki Ars'ovarlma Anjana Klishta-varlma Vartma-bandhaka, ij 15

elc.
elc.
,.,
CHAPTER
number
laka
IV.
Pathology of the diseases of the sclerotic coat : Names and
Sirii-jdla
Symptoms of S'uklarma Lohitarma S'uktikaArjuna PishBalasa-grathita, 16 17

etc. etc.
...
...
CHAPTER
S'ukra Akshi-pakatyaya Ajak.
...
V.
Pathology of the diseases of the black part of the eye-.
Number NamesSymptoms Prognosis A-vrana-s'ukra

...
Jata
Sa-vrana...
18
19
11
CONTENTS.
CHAPTER
VI.
Pathology of the diseases affecting the eyes as a whole Names and Causes Symptoms of Vitaja Pittaja Kaphaja and Raktaja
S'ushkakshi-pdka Anyalo-viila Amla-dhyushita S'irot-pKta

harsha.
...
... ... ...
AbhishyandaCauses of Adhimantha Symptoms of Vataja Pittaja Kaphaja and Raktaja Adhimantha Prognosis Symptoms of Sa-s'opha and A-s'opha Akshi-pdka Symptoms of Hatadbimantha Vdta-paryaya
S\\i-
...
20
24
CHAPTER
first
VII.
:
Pathology Of the diseases Of the Pnpil

third
Specific
-Description of Drishti
Symptoms When second Patola attacked and Blindness symptoms of Vataja Pittaja Kaphaja and Sannipatika Timira Parimlayi Different colours of the pupil cases of Linga-nas'a Specific of Vataja Kaphaja and Sannipatika
fourth
in
traits
Pittaja
Linga-nas'a
Smoky
sight
traumatic
Traits of Vdtaja Pittaja and Kaphaja Vidagdha-Drishti Hrasva-Jitya Nakulandhya, Gambhirika Symptoms of Linga-nas'a. 25 31
...
...
...
...
CHAPTER
Classification
fication
VIII.
and treatment of ocular affections :ClassiChhedya
Names
of
Lekhya Bhedya Vyadhya

to
eye-diseases
Names
of eye-diseases
where operation not

...
be risked
...
Names
...
of
curable and incurable eye-diseases.
32
33
CHAPTER
Treatment
.Fumigation Snuff
IX.
of
Va'taja Ophthalmia : tarpana Puta-paka Wash Eye-drop Colly ri mn Treatment of Anyato-
vita
Vata-paryiiya S'ubhkakshi-pjka.
...
...
...
34
37
CHAPTER
and Dhuma-dars'i.
...
...
X.
of
Treatment of Pittaja Ophthalmia : Tarpana measuresWash
Snuff Anjana Rasa-kriya AVchyotana Treatment

...
S'ukti-p^ka
...
38
40
CONTENTS.
CHAPTER XI.
Treatment
Treatment of HJleshmaja Ophthalmia : Fomcntationr-Anjana 4146 of Baldsa-grathita Pishtaka Praklinna-vartnia. ...
CHAPTER
XII.
Treatment Of Baktaja Ophthalmia : VenesectionInhalation
Eye-dropSnuffs Plaster Vartis Treatment harsha Arjuna. Scarifying Anjana Treatment

Anjana Soothing applications Treatment
of Ajaka"
of of
S'irotpdta
Sird-
S'ukra
Kshara4753
Akshi-pSka Puyd...
lasa Praklinna-Vartma and Aklinna-Vartma.
...
CHAPTER
Satisfactory defective
amenable
to scarification.
XIII.
of treatment by Scarification
Treatment Of Lekhya-roga : Mode

and excessive
...
scarification
...
Names
of diseases
...
...
5456
CHAPTER
XIV.
Treatment of eye-diseases which require Incision : Treatment of Visa-granthi LaganaAnjana Krimi-granthi and Upanaha.
Application of Sneha and Sveda.
...
...
...
57
58
CHAPTER
ment of
treatment
XV.
Treatment of eye diseases which require Excision : TreatArmans Preliminary actions Mode of operation Medicinal
Treatment
of
Sird-j ala
Siraja-pidaka Parvanika. Churna...
Anjana
Treatment of the inner
part of the eye-lids.
5g
63
CHAPTER
XVI.
Treatment of diseases peculiar to eye-lashes and eye-lids : Surgical treatment of Pakshma-kopa Preliminary actions Mode of operation Cauterisation and other measures. . ... 6465
iv
CONTENTS.
CHAPTER
treatment
of
Pitta
XVII.
Treatment of diseases of pupil and crystalline less : General

and
of
S'leslima-Vidagdha-Drishti. Pushpinjana
of
Dravanjana Gudikanjana
blindness Application
Treatment
Day-blindness
Nocturnal
Vartis Rasa-kriyanjanaKshudrSnjana
Treatment of a
palliative
type Triphali-GhritaNavana-errhines Puta-
paka Pratyanjana Treatment of PittajaVataja Kaphaja and Triof ParimlayiDiet Blooddoshaja Kacha Fumigation Treatment
Prognosis Surgical treatment of Kaphaja after-measures Symptoms and treatment of the disorders Llnga-nasa resulting from an injudicious operation Causes of relapse Symptoms
lettingTreatment ofTimira
Its
produced by the defects of the S'aldkd Description of the S'aldka
Derangements due
to
defective
operations
...
Their
treatment
...
invigorating Anjanas and Vartis.
Eye-sigM66 83
...
CHAPTER
in general
:
XVIII.
Preparations and medicinal measures for ocular affections The Tarpana measures.-rMode of application Symptoms
of satisfactory
excessive and defective
Tarpana
Treatment
of excessive
Cases of TarpanaThe Puta-pdka measures Scraping and Healing Puta-paka Preparations of Snehana Lekhana and Ropana Puta-pka Prohibition and Remedies infringementsSymptoms of satisfactory excessive and defective applications of
and defective Tarpana
Emulsive
for
Puta-pika Mode of preparing Puta-pika Mode of application As'chyotana and Seka their classes Maximum time for Seka Time for application
size
S'iro-vastiLekhana Ropana and Prasadana AnjanaForms of and dose Materials of vessels and rod Anjana Their the use of
for
Anjana How to apply Anjana Forbidden cases for the application of Anjana Symptoms of satisfactory excessive and deficient use of Lekhana Anjana Prasadana Anjana Ropana Anjana Recipe of several
principal
Anjanai Bhadrodaya-Anjana Vartis
Findanjana.
...
84
101
CHAPTER
XIX.
Treatment Of hurt Or Injury to the eye : General TreatmentPrognosis Treatment of sunken eye Symptom', and treatment of Kukunaka Conclusion. ... ... ... , 10210?
CONTENTS.
CHAPTER
XX.
Causes and symptoms of Ear -disease : Classifications Symp.

toms of Ka/na-s'ula Prandda Vacihirya Kshveda Karna-srava KarnaKrimikarna Karna-vidradhi kandu Karna-gutha Karna-pratindha
Karna-pfika
Puti-karna.
...
...
...
...
106108
CHAPTER
Medical
XXI.
TreatmentVddhiryya.
Treatment
of Ear-disease :- General
kinds
Treatment of Vataja ear -disease

of
Karna-s'ula Pranaclaand
ear-ache
S'iro-vasti Dipika-Taila Different

specific
of Ear-drop General and
treatment
Pittaja
and
Kaphaja
Karna-s'ula
Treatment of Deafness
Karna-srava
General and Special Treatment of Krimi-karna Karna-kshvcda Vidradhi,

...
Puti-karna
etc.
...
Kama109
117
kandu
Kama-pa'ka.
...
CHAPTER
Rakta-pitta
XXII.
:
Causes and symptoms of diseases of the nose -Nomenclature and Classification Symptoms of Apinasa Puti-nasya Nasa-pilka
Puya-rakta Kshavathu Bhrams'athu Dipti Pratindha Parisrava Pari.&'osha Ais'as S'opha Arvuda Pratis'yaya 118 120
CHAPTER
rakta
XXIII.
Therapeutics of nasal diseases : Treatment of Puti-naiya Apinasa. Diet Errhines Treatment of Nasa-paka S'onita-pitta Puya-
Kshavathu Bhrams'athu Dipti Nasanaha Nasa-srava

...
...
... ...
Nas.'l-
.s'osha etc.
121
122
CHAPTER XXIV.
Symptoms and treatment of Catarrh '.Causes Premonitory symptoms Specific symptoms of Vataja Pittaja Kaphaja Tri-doshaja
types Raktaja-pratis'ydya Prognosis General treatment of Pratis'yaya Regimen of diet and conduct Treatment of Vataja Pittaja Kaphaja
and Tri-doshaja types.
...
...
...
,.,
124
130
vi
CONTENTS.
CHAPTER XXV.
of
SymptotUS Of diseaBOS Of the head : Classification Symptoms Vataja rittaja Kaphaja Tri-doshaja Kshayaja Raktaja Krimija
S'iro-roga
Symptoms
of
Suryavarla
...
Ananla-vata Ardhava-bhedaka
... ...
and S'amkhaka.
3< 33
CHAPTER
Pittaja
XXVI.
of
Raktaja S'viroroga Food Treatment of Kaphaja Tri-doshaja Kshayaja Krimija Ardhava-bhedaka Ananta-vata and S'amkhaka.
Conclusion
...
...
Treatment of diseases of the head : Treatment
Vataja
...
...
...
134 140
Here ends the â'la'kya-Tantra.
CHAPTER
Specific features of nine
XXVII.
malignant Grahas : Different names
General course ol altnek Symptom* of attack uy Skanda Skandapasimira S'akuni Revati l'ulana Andha-putana S'lta putana Mukhamandika Nnigam-sha Prognosis Rules to be observed. 141 144
...
CHAPTER
XXVIII.
Therapeutics of an attack by Skanda Grata : General treatment Fumigation Mantras ... ... ... 145 146
CHAPTER XXIX,
Therapeutics of an attack by Skandapasmara: General treatment sprinkling Anointment Uts^dana Fumigation Religious pro-
pitiation
Mantras.
...
...
...
...
|^y
j,8
CHAPTER XXX.
Treatment of an attack by S'akuni graha : Sprinkling Anointment PradehaFumigationReligious propitiation Mantras. I49 150
CONTENTS.
CHAPTER
ment
XXXI.
...
Theraputics of an attack by Revati-graha : Sprinkling Anoint-
Plaster Religious propitiation Mantras.
...
151
-52
CHAPTER
ment
XXXII.
...
Treatment of an attack by Putani-graha :WashingAnoint-
Fumigation Religious propitiation Mantras.
153
154
CHAPTER
gation
XXXIII.
... ...
Treatment of Andha-putani-graha : Sprinkling piaster Fumi-
Religious propitiation Mantras.
155
156
CHAPTER XXXIV.
Treatment of an attack by
gation
fJita-putansC
: Sprinkling Fumi...
Anointment Religious
propitiation
Mantras.
157
CHAPTER XXXV.
Treatment of an attack by Mukha-mandika' : SprinklingAnointment
Fumigation Religious propitiation Mantras
...
158
CHAPTER XXXVI.
Treatment of an attack by Naigamesha : Sprinkling Anointment
UtsadanaFumigation Religious propitiation Mantras. 159 160

I6J
CHAPTER XXXVII. Origin of nine GrahaS The nine presiding

:
deities.
...
1C1
CHAPTER
XXXVIII.
SymptomB and Therapeutics of the diseases of the female organ of generation '.Causes. Enumeration ClassificationNames Symptoms of Vitaja Pittaja Kaphaja and Tri-doshaja types
Medical treatment.
Internal and
External treatment.
...
164
168
Here ends the Kaum&a-bhritya-Tantra.
viii
CONTENTS.
CHAPTER XXXIX.
Symptoms and Treatment of Fever :Description
Definition
of
Jwara
and
classification
Pathology Premonitory
symptoms
fever
Symp-
of Vataja Pittaja Kaphaja and Tri-doshaja Abbinyasa Hatatijas SannyasaDwandaja feverVata-pitta-fever VilaS'leshma-fever Pitta-S'leshma fever Pralepaka Tritiyaka and Chaturthaka (quartan) fever Vishama-fever Seat and duration of Vishama. jwara Satataka Anyedyushka Tritiyaka Chaturthaka Action the ence of Vayu on Vishama fever Agantuka fever due of poison Hay-feverGambhira fever and prognosis General treatment Fasting Prohibition of fasting Effect of fasting Satisfactory and excessive fasting Tepid water Cold water Peya Yavagu Symptoms of Pakva administering febrifuge Preliminary treatment and Ama-jwara Time Application of Vasti and S'iro-virechanaAdministration of Ghrita Diet Laja-tarpana Milk as a Meat-diet Prohibitions fever VatajaPittaja and Kaphaja fever TreatSams'amana decoctions ment of Kapha-Viita Pitta-S'leshma Vata-pitta fever and Tri-doshaja Treatment of Vishama-jwaraGhrita in cases of Vishama fever Guduchyadi-ghrita Kalasyadi-ghrita Maha-kalyana-ghrita Panchagavya ghrita Triphala-ghiita Pancha-saraMedicated Tailas Fumigaand Anjanas Treatment of shivering and burning sensation General treatment of the complications Application of Vastis Sympand
toms
fever
(tertian)
Influ-
to
effects
its
for
diet
in
for
fever
tions
specific
toms of the remission of
fever.
...
...
...
169-211
CHAPTER
XL.
Fasting Six Yogas Pittaja Atisara Astringent remedies Application of Ghrita PutapaUa-preparations PeyaTreatment of Use of milkAsthapana and Anuvasana Vastis Pichchha-Vasti Diet Causes and symptoms of PakvatisiiraTreatment and Symptoms of Pravsfllika General Treatment Application of Vastis Diet Medical treatment Yavagu General principle of treatment Indications of cure Static or dynamic causes of diseases and treatment Grah&ni Premonitory symptoms of Grahani Symptoms Specific symptoms of Vataja Pittaja Kaphaja and Tri-doshaja Grahani Treatdifferent Recipes for
Symptoms and treatment of Diarrhoea, etc :Causes PathoPremonitory symptoms Symptoms of Vataja Pittaja Kaphaja logy and Tri-doshaja types Symptoms of S'okaja and Amaja Atisara Symptoms of Ama and Pakva Atisara Prognosis General treatment Twenty
Amatisara
for
thirst
ment and
diet.
,..
...
...
...
...
212236
CONTENTS.
ix
CHAPTER
symptoms
XLI.
Symptoms and Treatment of Phthisis : Nomenclature SWia
Kshaya Raja-yakshma Etiology and general symptoms Specific of Vataja Pittaja and Kaphaja types Prognosis Other causes of S'osha and their symptoms Premonitory symptoms Prognosis Treatment Diet Meat, etc Utsadana Medicated Ghritas Eladi-mantha milk, Rules of conduct. Use of goat's 237 245
flesh,
etc.
...
CHAPTER XLI
Symptoms and Treatment
I.
Uttara-Vasti Anuvasana Chitrakaghrita Hingvadi-ghrita Dadhika-ghrita Kasona-ghrita. Ghritas in Pittaja Uaktaja and Kaphaja Gulina Internal use of Kshara Vris'chiBlood -letting Diet andSvcda. Peya Khada-yusha Fomenta Medicated plugs Supervening symptoms Prohibited Causes and Symptoms of Sula Symptoms of Vataja Pittaja Kaphaja General treatment Treatment of Vataja and Sannipatika Kaphaja and Tri-doshaja Symptoms and treatment of P&SVa-S'ula. Symptoms, and treatment of Kukshi-S'ula. Symptoms
doshaja
of Ghllma : Definition and NumberLocalisation and Nomenclature Premonitory Symptoms Specific Symptoms of Vataja Pittaja Kaphaja and Tri-doshaja types Symptoms of Raktaja Gulma General Treatment of Vataja Pittaja Kaphaja Tri-
and
Uaktaja
types
rarishta
tion
articles
S'ula.
Pittaja
S'ula.
and treatment of Hrlch-chhula. Symplon's of Vasti-S'ula
Vit-S'ula and Annaja
^'ula.
Theii
Mtltra-S'ula
...
treatment.
246
264
CHAPTER
Nomenclature .md
Kriiuij.i
XLII1.
and
o(
Symptoms and Treatment of Heart-disease : Kiiuloyy
Numbir Specific Symptoms

types Supervening
Vataja
PittajaKaphaja
ticatuieiit
...
Symptoms
Medical
...
ol
Vataja
Pittaja Kaphaja and Krimija types.
265
268
CHAPTER
Nomenclature
Pittaja
XLIV.
of Jaundice, etc- : Etiology and
Premonitory
Symptoms
and
Kaphaja
and Tri-doshaja
Kunibua-Kamrila
Ugbanrita
Specific Symptoms of Va'taja Symptoms of Kamala llalimaka. Supervening Symptoms

types
it
CONTENTS.
General treatment Treatment

ralca.Articles of
nosis.
...
of KamalaKumbha-kamalaLaghaof Supervening
... ...
DietTreatment
...
Symptoms
...
Prog-
269276
CHAPTER XLV.
PrognosisPremonitory SymptomsSupervening Symptoms Symptoms of incurable types General principles of treatment, Emetic Purgative Fasting Articles of fareDiet Lambatives The best Yogas Asthapana and AnuvrfsanaTreatment of down-coursing type
logy
six
of Haemorrhage : Cause and Patho-
Uttara-vasti.
...
...
...
...
...
277284
CHAPTER
fication
XLVI.
Symptoms and Treatment of Fainting fits :Definition Clari-
Premonitory
...
symptoms
Specific
treatment. Symptoms
...
Specific symptoms General treatment of SannyttsaTreatment Incurable

...
type Diet.
...
...
285288
CHAPTER
action of wine
XLVII.
Alcoholism : Properties and
of
Three stages of Alcoholic intoxicaprohibited. Specific symptoms of Pa'na'tyaya tion Cases where wine symptoms of Vataja Pittaja Kaphaja and Tri-doshaja types Symptoms of Para-mada Pan^jirna and Pana-vibhrama Prognosis Treatment of Vitaja Pittaja Kaphaja Tri-doshaja and Dvi-doshaja types PanakaTreatment of Para-mada Pandjirna Pana-vibhrama and Daha. Symptoms and Panatyaya Treatment of Thirst Remedies treatment of Raklaja -D.lha. Daha due to Accumulation of blood Due to Kbhaya Due to hurt of Marma. Their Treatment Mode of drinking wine. 289 301 Evil
effects of
is
drinking
for
thirst
...
...
...
...
CHAPTER
Premonitory
types.
XLVIII.
Symptoms and Treatment of thirst :EtiologyClassification
Symptoms of
symptoms Symptoms of Vataja Pittaja and Kaphaja KshatajaKshayaja Amaja and Annaja thirst.
Kshataja
thirst. General treatment.
...
Prognosis
General treatmentSpecific treatment-Treatment of
Kshayaja and Amaja
302308
CONTENTS.
3d
CHAPTER
Symptoms 'and Treatment
clatureBremonitory
XLIX.
:
of Vomiting
Causes and Nomen-
Specific symptoms of Viltaja Pittaja Kaphaja and Tri-doshaja typesTraumatic cases PrognosisGeneral treatment Treatment of VAtaj aKaphaja and Pittaja types. Vomiting due to pregnancy. Treatment of traumatic and Krimija types. General
symptoms
treatment Diet.
...
...
...
...
309313
CHAPTER
L.
ClassificationPremonitory symptoms Symptoms of AnnajdYamala KshudrikaGambhira and Mahd-hikkd. PrognosisTheir treatment Four liquid compoundsMeat as diet. 314 318
...
Symptoms and Treatment of Hiccough :CausesDerivation
...
CHAPTER
of
LI.
Asthma : EtiologyClassification
Specific symptoms of KshudraTaniaka Pra-tamaka Chhinna Maha and Urdhva-S'vasa. Prognosis General treatment. Ilinsractt-ghrita S'ringvadi-ghrita Suvahadi-ghrilaTaliLambatives Utkankd Articles The s'adi-ghrita Meat as recommtnded Application of Sneha and Dhuma Purging and Vomiting. 319 315
Premonitory
symptoms
diet.
five
...
...
...
...
...
CHAPTER
Classification
LII.
General Treatment Inhalation of Dhuma Treatment of Vataja Pittaja Kaphaja Kshayaja and Kshataja Kasa. Kalyana-guda Agastya-Icha. 326 337
Pittaja
Kshataja
of Cough : Causes and EtiologyPremonitory sympioms Specific symptoms of Vdtaja

and Kshayaja
types.
...
...
CHAPTER
of Vataja
LIII.
Pittaja
...
of Hoarseness: Eticfogy Symptoms Kaphaja and Tri-doshaja types. Symptoms of
Prognosis General TreatmentTreatment of Vatoja - Pittaja Kaphaja Tri-doshaja Kshayaja and Medoja
Kshayaja and Medoja types
types.
...
...
...
...
335337
xii
CONTENTS.
CHAPTER
L1V.
Symptoms and Treatment of Worms : Causes Classification Names and symptoms of Purishaja Kaphaja Raktaja worms? Specific
Prognosis Their Treatment. causes General symptoms ... Romacla and Dantdda worms Diet. ...
Treatment of 338 343

...
CHAPTER
tion
LV.
Symptoms of V.itaja Purishaja Mtitraja UdavartruRepression of Tears Sneezing Eructation Vomiting Seminal discharge Hunger Thirst Breath and Sleep. l'mgnosis Their General Treatment Their Specific treatment. Treatment of Adhmana. UdaVartta due to errors of diet Its treatment. ._ 344 351
V'awning
... ...
Symptoms and Treatment of Uda'vartta : Causes Classifica-
CHAPTER
Symptoms and Treatment of
LVI.
SymptomsAlasakaVilambika Prognosis General Treatment Kshiragada Kalyana-lavanaDiet. Causes and Symptoms of Ana'ha Treatment. 352 356
...
Visuchikai : Causes Defini- ion
...
...
...
CHAPTER
tion Their
LVII.
of Arochaka '.Etiology ClassificaSymptoms of Vataja Pittaja Kaphaja and Tri-doshaja types.

Treatment
decoction
...
Four
specific
Lambatives
Asava.
...
Use
of
Arishta
...
and
Treatment
...
Regimen
of diet of
Manasa
357
A'ochaka.
jgg
CHAPTER
tion Symptoms
of
LVIII.
of Urine : Classifica-
Symptoms and Treatment of suppression
Mutra-jathara Mutra-sanga Mulra-kshaya Mutra-granthi MulrasarkariUshna-v&a and two kinds of Mutrauka-sada, General treatment Application of Uttara-Vasti. . ... iqx ,,, ,53
V.ita-kundalika VataMhil.t Vata-vasti Mtitritita
CONTENTS.
xiii
CHAPTER
Symptoms and Treatment of the
fications-Symptoms of Vilaja
LIX.
defects of Urine : Classiand Sannipa'tika types
Gravel
PittajaKaphaja
UlceA r injury in the Urethra Mutri gMla due to Stone or General TreatmentTreatmet of Viitaja Pittaja Kaphaja doshaja types. Treatment of Abhighdtaja and Purishaja types,
-
and Tri369
372
Here ends the Kaiyachikitsi.
CHAPTER
Superhuman
Graha
dharva-graha
LX.
by
a
Symptoms and Treatment of the diseases brought on through

influences
'
Yaksha-graha Pitri-graha Bhujanga-graha Rakshasa Progonosis Times of their Possession Explanation of Bhuta-vidyi General and religious treatment Their specific religious treatment Medical treatment Special treatment. 373 3S0
graha and Pis'acha-graha.
...
Indications of attack by GrahasDeva-graha Asura-graha Gan-
Action of Graha Causes of influence
CHAPTER
ficance
LXI.
Apasmara : Derivative
signi-
of
CausesNomenclature Premonitory Symptoms Symptoms of V.ltaja Pittaja Kaphaja and Sannipataja types. Discussion on treatment Siddharlha-ghrita causes. General treatment Specific Pancha-gavya-ghrita General treatment Preparation of special wine
its
Venesection,
...
...
...
...
...
381386
CHAPTER
fications of
LXII.
: Derivation Classi-
of Insanity
Pittaja Kaphaja ami Tri-doshaja types Symptoms of S'okaja and Vishaja types General treatment Treats realmenl by frightening acts Diet Maha-Kalyana-ghrila Kalyana-ghrila Phala-ghrila Phala-ghrilaVartis Venesection. 387 391
Vdtaja
rila
...
...
...
...
Here ends the Bhuta-Vidyri-Tantra-
xiv
CONTENTS.
CHAPTER
One
at
LXIII.
Different Combinations of six different Rasas -.Taken two at a time Three at a time Four at a time Five at a time Six at 9, time-
a time.
...
...
...
...
...
399395
CHAPTER LXIV. RnleS Of Health : Indications of Health

of diet and conduct in the
rainy
Its
season Rules
Tor
importance Regimen autumn Hemanta
WinterSpring Summer and When and how to be taken.

Medicines Their namts
food.
... ?..
for
Pravrit. Different kinds
of
food
of
Ten proper
...
times for administration
Definitions and
Effects
Propel time
...
for
taking
...
396405
CHAPTER LXV.
The Technical terms need In the
Technical terms
treatise
: Names
of the
NecessityTheir definitions and examples.
406413
CHAPTER
The
Number
different
LXVI.
of the
different
Modifications
of different diseases.
Number of drugs. Different

... ...
Doshas :
combinations
of the three Doshas
Their number.
...
414
416
End
of the Contents of the TTttara-Tantra.
THE
SUSHRUTA SAM HIT A.

UTTARA-TANTAKAM.
(SUPPLEMENTARY PART OF THE TREATISE).
CHAPTER
Now we
shall discourse
viz.,
I.
on the chapter which deals

etc.
with the diseases,
of the eye,
i.
(Aupadraviof
kam adhyayam)
Here
commences that Samhita which is known
portion
as
the
Sus'ruta
the Uttara Tantra (the
supplementary part) to which references have been often
made
as the
in
fit
the preceding one hundred and twenty chapters,

place wherein to revert in detail
to the
topics
cursorily
mentioned
therein.
This
part
comprises
within
it
the specific descriptions of a large and' a varied

viz.,
number of diseases,
ear,
those which form the subject
matter of the âla'kya-Tantra (Diseases of the eye,
nose and throat)

;
as narrated
by
the king of
etc.
Videha
diseases
the aetiology and

peculiar to
infants
etc.,
symptomatology,
of
bhritya), the pathology,

in
the six books of
the
and women '(Kaumaraof those diseases mentioned Practice of Medicine par
excellence (Kaya-chikitstf) compiled

pld
by the holy sages of

{e.g.
and diseases known as Upasarga
Bhutopasarga
THE SUSHRUTA SAMHITA.
QP-
I-
Demonology) as well as
are also included in
this
diseases of traumatic
origin
supplementary text*.
Herein
are also mentioned the sixty-three combinations of the

six different
Rasas
(tasccs) as well as the
laws of health
and hygiene with their rationale (rules, interpretation and reasonings) and the classifications of different Doshas and organic principles of the body and various
accessories
and
remedial
agents
2.
required
for
their
successful treatment
I
and
cure.
shall
now begin with
the description
of the
num-
bers, the pathology and the curability or incurability of those specific aiiments of the body which are peculiar
to the region
of the
head out of a myriad of other
distempers reserved for treatment in this portion of the
work
(Uttara-tantra)
which
in
may
be compared to the
of
its
unfathomable deep
respect
3.
of the vastness
depth and magnitude.
Diseases of the eye and Its appendages The eye-ball (Nayana-Budbuda) is two
fingers (about
an inch)
in transverse in
diameter, about the
breadth of one's
own thumb
and a half
cow.
depth (Sagittal diameter),

round
in (in
and two
fingers
is
all
circumference).
The
eye-ball
almost round
It
is
shape and resembles

of
all
the teat
of a
made up
is
the
(five)
elements of which the universe

of the
of
is
built up.
The element
'solid'
earth (Bhu) contributes to the formation
its
muscles, the
element of
'heat'
its
(Agni cr Tejas)
arteries),
in the
blood (that courses in
veins and
'the
gaseous element' (V&yu) contributes to'the formation

(Iris, etc.) in
of the black part
which the pupil

in
is
situated,
the
fluid
element (Jala)
preponderates
the *lucid
(1)
it
The
text
has A'gantuka (traumatic ^diseases).

etc.
GayadSsa explains
).
to
mean Apasmara, Unmida,
(Hysteria, insanity, etc.
Chap.
I. ]
UTTARA-TANTARAM.
part (Vitreous body) and
is
(white)
the
void
(ethereal)
Space (Akas'a)
are discharged.
I
there to form lachrymal
or the other
ducts or sacs (As'rumarga) through which the secretions
4.
shall
now
proceed
tral part of Retina
'Macula
to.
describe the Drishti (the cenLutea')
as
set
forth
by
expert ophthalmic physicians.
The black
portion of the
of
eye (Krishna-mandaia Choroid) forms one third part its whole extent while the Drishti, according to them,
occupies only one-seventh part of the Krishna-mandaia.
The Mandalas
the
or sub-divisions or circles of the
eye-ball,
Sandhis or Joints (parts where these sub-divisions

I'atalas (layers or coats)
five,
meet with one another) and the

of
the eye
5-6.
are
respectively
six
and
six
in
number.
Mandala and Sand hi :The

the eye are the following,
viz.,
(1)
Mandalas of the Pakshma-mandala

Vartma-mandala
(the
(the circle of the cye-lashcs), (2) the

eye-lid) (3) the
Sveta-mandala (the Sclerotic and Cornea),
the Krishna-mandaia (the choroid) and (4) the Drishti-
mandala
(the pupil).
These
as
circles arc
so arranged that
the one preceding
lies
within the next in the list*

lines of
The
first
Sandhis (which serve

circles)
demarcation of the
already pointed out are six in number, the
binding the eye-lashes (Paksha-mandala) with the eyelids
(Vartma-mandala), the second the eye-lids and the

the third binding the
Sclerotic coat (Sveta-mandala),

latter
with the
Krishna-mandaia (choroid), the fourth

latter
situated
between the
and the Drishti-mandala,
the
fifth
lying in the interior corner (Kanin^kas) and the
last (sixth) in
the exterior (posterior) corner (Apangas)
of the eye.
7-8.
lines
Evidently some line or

give a complete sense
are missing here as the line cannot
by
itself.
Ed.
THE StfSHRUTA SAMHITA.
Chap.
I.
ThC PatalaS :Of

eye-lid
the Patalas, two are in

in
the
(Vartma-mandala) and four

occurs
the eye proper,
wherein
the
dreadful
disease
known
first
.as
the
Timira
rior
(loss of vision).
Of
these four the
or ante-
coat
(
(Patala)
supports
the
humour
Jala
and
is
light
Tejas), *
the second coat or Patala (choroid)

;
supported by muscles
the third coat or Patala (Sceroim
and Cornea) consists of Medas (lit. fat) and there is the fourth which is a fifth part of the whole and is known
as the Drishti.
There
are,
however, divisions and
sub-
divisions of these coats.
9.
The
by
is
different parts of the eye-ball are blood-vessels,

choroid.-f
(in
held together
the
the
muscles, the
Vitreous body
eye-ball
and the
held
Beyond the
choroid, the
the orbit) by a mass of Sleshma (viscid
substance
of vessels.
capsule of
Tenon) supported by a number

pass
The deranged Doshas which
upward
to
the region of the eyes through the channels of the

coursing veins and nerves give rise to dreadful
diseases in that region.
10.
up-
good many
of
vision,
Purva-rupa,
CtC. :Cloudiness
slight inflammation, lachrymation,
heaviness, burning sensation,
mucous accumulation, sucking pain (D. Reaching

are indistinctly
pain) and redness in

(in the
the eyas
manifest
inif
incubatory stage) in such cases. In cases of an

(eye-lids) the
flammation of the Vartmas

studded with the bristles of
eye seems as
worms (Suka) and attended

sensible
with pain
(as
if
pricked into with thorns) and a
impairment of the faculty of the

*
eyes in detecting
in
By
"Jala"
is
meant here the serum (Rasa)
the
skin,
and by
"Tejas" the blood

A'lochaka.
in the veins
(Sui) carrying the (Tejas) known as the
t D. R.
vessels,
muscles and
aqueous
humour
(Medas) are most
important for the
maintenance of Krishna-mandala.
Chap.
I- 3
Uf TARA-TANTARAM.
in closing
colours
and
and opening the
eye-lids
freely.
An
intelligent physician will conclude
from these symp-
toms that the eyes have been affected by the (deranged) Doshas, with a due consideration whereof the remedies
should be (carefully) administered, otherwise the eyediseases might
become too
serious.
The simple maxim

of a disease
or principle to be followed in the treatment

is
simply to forego the primary pathological causes of
that disease.
The
special remedial measures that
would
pacify the different Doshas, cribed in detail.

12-13.
Vayu,
etc.
have been deslocal
Causes of
Eye-disease : The
Doshas deranged and aggravated by such causes as

diving in water immediately after an
exposure to the
at
dis-
heat and the glare of the sun, (constant) gazing

tant objects,
late
sleep
in
the day time and keeping
up
hours in the night, fixed and steady gaze, excessive

in grief,
weeping or over-indulgence
worry and
fatigue,
a blow or a hurt, sexual excesses, the partaking (in inordinate quantities) of Sukta, Aranala (fermented rice-water),
acid gruel,
repression of
to
Masha pulse, and Kulattha pulse, voluntary any call of nature, exposure (of the eyes) smoke or dust, trickling down of the drops of sweat
the
eyes),
(into
excessive or impeded
vomiting,
of the
re-
pression of tears,
constant
contraction
eyes to
adjust the sight to extremely
small
14.
objects,
etc.,
beget
disorders of the organs of vision.
Seventy-six different kinds of

come across Kapha.
in practice
;
Classification of the Eye-diseases

eye-diseases
have been
the deranged Vrfyu,
by by Pitta and thirteen by Sixteen are produced by vitiated blood, and

of these ten are of iginated ten
twenty-five
Doshas (Tri-Doahaja), and
by the concerted action of the deranged lastly, two are produced by
6
external
origin.
The sushruta samhitX.

causes
15.
i.
[C^p-
e.,
they
are
traumatic
in
their
" ,
Prognosis of the Vataja Type :Of the

diseases of the eyes which are due to the
action
of the
deranged Vayu, those

sha,
known
as Hatadhimantha,
Nimi-
Gambhirika
affecting
the vision,
is
vartma (Vayu-afflicted Sclerotic coat)

able.
and Vata-hatasaid to be incur-
temporary cure (Yapya)
is all
that can be effected
in a case of
Kacha
(cataract)
;
due to the action of the
deranged bodily
Vayu
while the affection of the eyes
known
as the Anyato-Vata,
Adhi-mantha (ophthalmia),
Maruta-Paryaya
Sushkakshi-paka,
are curable.
16.
Abhishyanda and
Prognosis of the Pittaja Type :Of

the diseases due to the deranged action of the
Pitta
known
as Hrasva-jadya and Jala-srava should be

;
deemed
only
incurable
and
palliative
measures
are the
remedies in cases of Kacha, Parimlayi and Nila, while
Abhishynda,
Adhi-mantha
Amladhyushita,
Suktika,
cur-
Pitta-Vidagdha-Drishti,
able.
17.
Pothaki and Lagana are
Prognosis of Kaphaja Type: Of

diseases due to the aggravation of
the
Kapha, the one known

(Kaphaja) Kacha
as the Srava-roga
(cataract)
is
incurable and
admits of only palliative treatment, while a

be be effected
in
cure
may
the following cases,
viz,,
Abhishyanda
Grathita,
(conjunctivitis),
Adhi-mantha,
Balasa-
Sleshma-Vidagdha-Drishti, Pothaki, Lagana,
Krimi-granthi,
Pariklinna-Vartma, Suklarma, Pishtaka,

18.
Sleshmo-panaha.
Prognosis of the Raktaja Type:Of

the diseases of the eyes due to the vitiated
condition
of the blood, those
known
as Raktasrava, Ajakajata,
Avalambita (pendent),
Sonitars'as
and Sukra-roga should
Chap.
I-
UTTARA-TANTARAM.
be regarded as incurable, and the type of jKacha (cataract) due to the same cause admits of ohly palliative
measuses, while the diseases
known
as
Adhi-mantha,
Abhishyanda, Klishta-vartma, Sira-harsha and Sirotpata,

Anjana,
Sira-jala, Parvani,
Avrana
(non-ulcerated), Sukra-
roga, Sonitarma and
Arjuna
19.
may
be included within
the group of curables.
Prognosis of the Tridoshaja Type,

etc.
srava,
!
Of the eye-diseases due to the concerted action

known
as
of the three aggravated Doshas, those
Puya-
Nakulandhya,
AkshipAkatyaya and Alaji are

are only possible in
;
incurable and palliative measures

cases of
Kacha
as
known
yarma,
lasa,
Pakshma-kopa while those Vartmavabandha, Siraja-pidaka, Prastar(cataract) or
Arvuda, Syava-vartma,
Adhi-mansarma, Snayvarma, Utsangini, PuyaKardama-vartma, Ars'oSarkara-vartma, the
vartma, Sukrars'as,
of
two
forms
inflammation with or without local swelling known

Sas'opha-paka and
As'opha-paka,
yeild
to
as)
Bahala-vartma,
the
curative
Kumbhika and Visa-vartma

of eye-disease due
to
efficacy of appropriate remedial agents.
Both the forms
the
external causes* should be
considered as incurable.
20
21.
Their Localities ;Thus we
have
finished
enumerating the seventy-six types of eye-diseases, of which nine are confined to the Sandhis (binding
unions),
twenty-one to
the
Vartma
(eye-lids),
eleven
to
the gjukla-bha'ga (the Vitreous body),

(the region
four to the
Krishna bhaga
of the Choroid), seventeen
to the entire region (eye-ball)
and twelve td the region

1
of the Drishti (pupil or the "crystalline lens,

*The one due
to
etc.).
The
any external blow or hurt (Sa-nimitta) and the other
originating from the sudden sight of
any
celestial
being of extreme
brilli-
ancy (A-nhnitta).
THE SUSHRUTA SAMHITX.

to
[O^P- L
two cases due
the
extraneous cause (are chiefly

affecting
located in the Driflhti though
the whole
of
the eye-ball and) arc very painful and incurable.

characteristic
The
symptoms
22
of
23.
all
these will
be hereafter
described in detail.
Thus ends
the
first
chapter of the Uttra-tantra in the
Sus'ruta Samhita
which deals with the
diseases, viz. of the eye, etc.
CHAPTER
II.
Now we shall discourse on the chapter which deals with the pathology of diseases which are peculiar to the joints or binding membranes of the eye (SandhI*
gata-Roga-VIJnanlya). The names of those diseases :Diseases

peculiar to the joining (Sandhi) of the
eye are nine
in
number and are named Puyalasa, Upanaha,

kinds
of)
(the four
Srava
(viz.
Puya-srava, >leshma-srava, Rakta2.
srava, Pitta-srava),
Parvani, Alaji and Krimi-granthi.
Symptoms
na*ha
pus
is
of
Puyalasa and Upaof
suppurated swelling occurring at any

a
sort of fetid
these joining and exuding

called Puyalasa.
and dense *
painless
cyst (Granthi) of
considerable size occurring at the union of the pupil (with
the Krishna-mandala) and attended with an itching sensation
and a
little
suppuration
is
called
Upangha.
(
3.
A.
)
Symptoms
Doshas
Of SraVa : The
of
deranged
of the locality passing through the lachrymal
ducts into the binding tissues
the four different
up a painless \ secretion (Srava) from the localities characterised by the specific symptoms of the different Doshas involved. These are known as SraVas, which according to some, are also called
Sandhis (joinings)
set
* According to
(^ffifc:)*
There
is
Madhava's reading, the swelling should be painful no mention whether the pus should be dense ('HP5) ot
otherwise.
+ The term "Dosha" here means S'leshma, Pitta, Rakta (blood) and the concerted action of the above three Doshas. It should be noted that Vftyu is excluded from the list as it does not produce any secretion,
% Mldhava does not mention
this (painlessness) to
be a symptom.
IO
Chap.
II.
Netra-nadi and are classified into four different groups,

the different
presently.
symptoms
of
which
will
be described
suppuration (D. R. swelling) in
any of the
Unions (Sandhi) of the eye
marked by a discharge of pus is called Puytf-srava. This is due to the concerted action of the Doshas (Kapha, Pitta and blood). The secretion of slimy, white and thick muco-purulent discharges marked
by the absence
flow of thin,
of pain *
is
called SJleshmd-sraVa.
The
warmf and blood-streaked copious
discharge
due to a contaminated state of the local blood is called Raktrf-srava. A warm, water-like and yellowish blue
(D. R. reddish yellow) discharge from
the
middle part
of the union (owing to the deranged condition of the

Pitta)
is
called Pittrf-sriva.
3.
Symptoms
of Parvanl, etc. : A
small,
join-
round and copper-coloured swelling occurring at the
ing of the Krishna-mandala and Sukla-mandala, due to
the vitiated state of the local blood and attended with a
burning sensation and aching pain,
is
called
Parvani.
swelling
possessed
of
the
preceding
is
features
and
occurring at the very

titis) J.
same joining
called Alaji (Kera-
cyst or swelling (Granthi) characterised
by an
itching sensation appearing
on the joining of the
eye-lids
and
eye-lashes
in
owing to the germination of parasites

localities,
is
(Krimi)
those
called Krimi-granthi.
Parasites of different forms in such a case

Infest
are found to
the regions where the inner lining of the VartmaMadhava's reading, the absence of pain
not a
According to
is
necessary concomitant in this case.
According to Madhava's reading thinness and warmness are not
essential.
t
larger.
The
difference
between a case
is
of
Parvanl and
and that
that of
in the
AlaJl
Alaii
is is
that the swelling in a case of Parvani
smaller,
Ciiap.
it
UTTARA-TANTARAM.
(eye-lid) is
IT
mandala
connected with the S>ukla-mandala
(Sclerotic coat) of the eye
and
4
to invade
5.
and
vitiate the
substaace of the eye-ball.

Thus ends
the
second chapter of the
Uttara-Tantra in the Sus'ruta

of the diseases peculiar to the
Samhital which deals with the pathology
Sandhi (unions) of the eye.
CHAPTER
Now we
eye-lids
shall
III.
discourse on the chapter which deals
with the pathology of diseases peculiar to the region of the
(Vartmagata- Roga-Vijna'nlyai Causes and Names : The Doshas of
i.
the
body jointly or severally expanding through the nerves and veins, (Sira) of the eye-lids (Vartma) bringing about an augmentation of the quantity of the blood and the growth of the flesh in the localities (determination of blood toward formation of fleshy growth in
the affected parts) give
rise to
a host of local diseases
which are known as Utsangini,

Vartma-Sarkara.
Ars'o-vartma,
Kumbhika, Pothaki,
Ssushkars'as,
Anjana,
Bahala-vartma, Vartmavabandha, Klishta-vartma, Kar-
dama-vartma,
Syava-vartma,
Praklinna-vartma,
Pari-
klinna-vartma, Vatahata-vartma, Arvuda, Nimisha, iaonitarsas,
Lagana,
Visha-vartma
and
Pakshma-kopa.
the eye-lids
These twenty-one diseases are

(Vartma).
2.
restricted to
The
specific
Specific
symptoms
;
of the disnames
of these
eases of the eye-IidS : The

have been enumerated
now hear me
(rolled
describe their
boil
symptoms.
up and indented)
or eruption (Pidaka) appearing along the lower eye-lid
on
mouth or head directed A number of boils or pustules (Pidaka) to the size of a Kumbhika seed appearing on the joint of the eye-lids and the eye-lashes and becoming inflamed after being burst is called
its
exterior side
is
with
its
inward
called
Utsangini-
Kumbhiki
three Doshas.
*.
34.
(Kumbhika')
is
* This disease
due
to the
concerted
action of the
Chap. Ill,
UTTARA-TANTARAM.
of red
number
and heavy (hard)
boils
or pustules
(Pidaka) resembling red

pain, itching
mustard seeds attended
with
A rough and and large pustule (Pidaka) surrounded by other very small and thick erythematous pustules (covering the
exudation is called Pothakientire length of the eye-lid)
is
called
Vartma-fl'arkara'.
5-6Vegetations of small (D. R.

soft)
and rough
papilae
(Pidakas) on the eye-lid resembling Ervdruha seeds and
attended with very
little
pain are called Ars'o-vartma.
Long, rough, hard, and numbed papils (Amkura) on the

eye-lid (2) are called ia shkaVrfas.
is
8.
small,
soft,
copper-coloured
pustule
(Pidaka)
appearing on the eye-lid and attended with burning,

pricking sensation and a slight pain
called
an Anjana.
Vegetations of pustules (Pidaka) of equal size (D. R.

attended with hardness) occurring
all
along the eye-lid

colour are called
and resembling
it
(or each
9-10.
other) in
Bahala-vartma.
Such swelling of the

being evenly opened
eye-lid attended with
an itching
sensation and a slight pain as impedes or interferes with

its
is
called
Vartma-bandha.
mild and copper-coloured inflammatory swelling of both

the eye-lids simultaneously attended with a slight pain
and changing suddenly into redness (D. R.

discharging
suddenly
Klishtathe
Pitta dirty
called
blood
therefrom)
is
called
vartma.
n-12.
of
case
Klishta-vartma
in
which
has deranged and affected the blood ancf matter (mucus)

is
much
is
discharged as a consequence
a case of Vartma-kardatna.
dark brown colour of
the eye-lids both internally and externally marked

(t)
by a
According
to
Midhava, the
papilae
in
such cases occur in the
inner side of the eye-lid.
14
swelling (D.
Chap.
ifc.
R.pain)
and attended with a discharge of

is
.
pus and with burning and itching sensations

dyrfva-vartma.
13-14.
called
An
little
external swelling of the eye-lid with a deposit

in
its
of
mucous matter
sensation,
is
inner surface accompanied with a
pain as well as a discharge, itching and pricking

called a
Praklinna-Vartma.
the
sticking to-
gether of the eye-lids even in the absence of any suppuration
and
in spite of
is
eyes being constantly washed
(with water)*
called
Pariklinna-vartma.
(lit.
15
The drooping down

whether
obstruct the
lids
16.
inactivity)
of the eye-lids,
(so
attended with any pain or not,
as
to
opening of the eye-lashes) where the eyejoint

is
seem to be out of
called Va'trfhata-vartma.
and knotty swelling (Granthi) of an uneven size or shape, growing hastily on the interior side of the
red
eye-lid
and attended with a

17
little
pain
is
called
an Arvuda
the
or tumour.
18.
Constant wrinklings of the eye-lids owing to

incarceration of the (deranged)
Vayu
within
the nerves
or veins (Sira) controlling their wrinkings (closing and
opening) are
after being
known
as
Nimesha.
knife,
Soft and
fleshy
growths (Amkura) on the eye-lid which reappear even
removed with a
and are attended with
pain, itching and burning sensation are called Sonitarsas and should be ascribed to the vitiated condition of the
blood.
19-20.
thick, slimy, hard
and
painless
nodular swelling
size
(Granthi) on the eye-lid resembling a
and marked by an itching

puration
*
is
Kola fruit in sensation and absence of
sup-
called
Lagana
+.
An inflammatory
swelling
A different reading reads

editions read
'whether washed or not.'
This,
however,
not a good reading,
t Certain
NagMUt.
Chap. HI.
UTTARA-TANTARAM.
of the eye-lid dotted with minute punctures like the pores

in the
stem of a water-soaked lotus plant

21-22.
is
called
Visa-vartma.
An
accumulation of the deranged Doshas about the
eye-lashes
makes them rough and

eye and give
as
is
sharp-pointed, which
give pain to the
The
of
disease
known
relief when drawn off. Pakshma-kopa in which the
eye cannot bear the least wind or heat or the glare

fire.
23.
Thus ends the
third
chapter of the Uttara-Tantra in the Sus'ruta

eye-lids.
Samhita which deals with the pathology of the diseases of the
CHAPTER
Now we
with
shall discourse
IV.
on the chapter whi ch deals

r.
the pathology of diseases of the Sclerotic coat
(white coat) of the eye (Buklagata-Roga-VijiHtoiiya).
Names The eleven different forms

:
of diseases
which are peculiar

rma),
to
the Sclerotic coat (white) of the
eye, are Prastaryarma,
Suklarma, Kshatajarma (Rakta-
Adhimansarma,
Sndyvarma,
thin and
Suktika,
Arjuna,
2.
Pishtaka, Sira-jala, Sira-pidaka, and Balasa-grathita.
Symptoms
A
: A
extended glandular
blue and
swelling (Granthi) coloured
reddish
is
apearing
on the Sclerotic coat (Sukla)
called
Prastaryarma.
is
crop of soft and whitish growths slowly extending

called
over the entire length of the Sclerotic coat
Suklarma.
Lohittfrma.
The
fleshy
growth on the white coat of the

is
eye resembling a (red) lotus flower in colour
called
The
soft,
extended,
thick
flesh
and
dark-
brown and
coat
is
liver-coloured
growth of
on the white
coat,
3-7.
called
Adhi-mdnstfrma.
in size, is called
The
rough, yellowish
(D. R. white) growth of flesh
on the white
Sna'yvarma.
and
gaining (slowly)
The appearance
flesh
in
of dark
brown specks resembling

colour of an
is
colour or of those having the
oyster-shell
on the white coat (Sukla) of the eye
called
Suktika^
The appearance
is
of
a single dot or
speck on the Sclerotic coat (bukla), coloured like a

(drop of the) hare's blood,
called
Arjuna.
raised
and circular dot or speck appearing on the white coat and coloured white like pasted rice and (as transparent
as)
water
is
called
Pishtaka.
Red and
called
extensive
patches of hardened veins spreading over the white coat
and looking
like
net-work
is
Sirrf-jala.
The
Chap. IV.
UTTARA-TANTARAM.
crop of white pustular growths (Pidaka) on the Sclerotic

coat (Jsukla), near the limit of the
black coat
(Iris)
and
covered over with shreds of veins are called the Siri-
PidafcC
The
disease in which a speck coloured like the
Indian bell-metal (Kamsya) and covered
over with a
is
vein (Sira) appears on the region of the Scleratic coat

called the
BaMsa*.
8-13.
Thus ends
hita
the fourth chapter of the Uttara-T antra in the Sus'ruta
Sam-
which
treats of the
pathology of the diseases of the Sceloretic region
of the eye.
The
reading
in
Madhava's Nidana
It is
is
quite different
here,
and
Dallana seems to support that.
defined as the disease in which a hard
speck appears like a drop of water

bell-metal in colour.
on the white coat
and looks
like
CHAPTER
Now we
the
shall discourse
V.
on the chapter which* deals

the
Iris
with the pathology of the diseases of the black part of

eye
Choroid
Choroid
including
r.
(Krifllma-gata-
Boga-Vijna'niya).
The
of the
diseases
which are found to invade the region

including the
Iris
(Krishna-mandala)
in
have been briefly said to be four
number.
Their
names are Sa-vrana-Sukra, and Ajaka, 2,

i
A-vrana-Sukra, Pakdtyaya
Symptoms A puncture-like dip in the region

of the (Krishna-mandala)
the part has been pricked
with a sensation there as
if
with a needle and attended

is
with an excruciating pain and a hot exudation
called
Sa-vrana-ûkra.
(Retina) be
If the
seat of this disease consider-
ably remote from the pupil
entire part of the Drishti

if
marked by the absence of pain and discharge

there be
and be not deep-seated and

spots,
it
not double
3-4.
offers
very
little
chance of remedy.
Symptoms and Prognosis of

na-3llkra : A
whitish
film
A-vraon
the
appearing
region of the Choroid
including the Iris
(Krishna) like
a speck of transparent cloud in the sky, and attended
with lachrymation and slight pain due to the eye-disease
known
called
as
Abhishyanda (Ophthalmia
This
is
lit secretion)
is
the A-vrana-dnkra.
easily curable.
film)
A
is
case of
Avrana-Sukra
(non-ulcerated
which
thickened, deep-seated
and long-standing, may be cured

difficulty,
only with the greatest

case of this disease, of
flesh,
while an long-standing
if it is
mobile, covered with shreds
vein-ridden,
stretching
down
to the
second
vision,
layer of skin (in the eye) and
obstructing the
Chap. V.]
UTTARA-TANTARAM.
marked with a reddish
severed in the middle and

in
tint
the
extremities,
should be
deemed
as
incurable.
Several authorities aver that the appearance of Mudgalike specks or films
on the region of the
Iris,
attended
with growths of pustules and hot lachrymations, should
be like-wise regarded as incurable. The fact of its (speck) assuming the colour of the feather of a Tittira bird
is
an additional indication of the incurable nature of

5.
this disease.
The appearance
mass and attended
Akshi-Pdktttyaya.
of a whitish milky film

it
over the
its
black part of the eye slowly shrouding
entirly with
with acute pain
is
known
is
as the
This
of
all
is
invariably found to result
from an attack
Akshi-kopa* and
the Doshas.
due
to
the
concerted action of
painful reddish
growth, like the head of a goat, found to shoot forth
from beneath the surface of the black part and attended

with reddish slimy secretion
Thus ends the
hita
eye.
is
called
an Ajaki
6-7,
fifth
Sarrl.
which
treats of the pathology of the diseases of the
black part of the
* According to Madhava's reading in his Nidana, this disease
need
not necessarily result from an attack of Akshi-kopa, and
there
need not
be an acute pain, and
it
would be incurable.
CHAPTER
Now we
shall discourse
VI.
with the (symptoms and) pathology of the diseases

affecting the eye as a
whole
(Sarva-gata- ROga-
Vljnsfnfya).
Names and causes
:The
four types of
Abhishyandha (Ophthalmatis), the four types of Adhimantha, the two forms of Akshi-paka (suppuration of
the eye) attended with or without swelling, these ten,
as well
as
Hatadhimantha, Anila-Parjaya, SuskakshiAmladhyushita,

Drishti,
Sirot-
paka,
Anyato-vata,
pata and Sird-Harsha are the names of the (seventeen

kinds of) diseases which affect the
eye as a whole.
Nearly
tlie
all
these forms of eye-diseases
may
result
from
shall try speedily
Abhishyanda (Ophthalmitis). Hence a wise physician to remedy a case of Abhishyanda

it is
(Ophthalmitis ) as soon as
found
out.
2.
Specific
nda
The symptoms
symptoms
of
Abhishya-
which mark a case of Abhideranged Vrfyu are
shyanda due
to the action of the
pricking pain (in the eyes), numbness, horripilation and

irritation in the eyes,
roughness and parchedness of the
organ, cold
lachrymations and headache.

exhibits
case
of
Pittaja-Abhishyanda
viz.,
the following features,
burning and inflammatory suppuration of the eyes,

(in
longing for coldness
the eyes), excessive hot lachryIn
mations, cloudy vision and a yellowness of the eye.

the
Kaphaja type
of the
disease,
the affected organ
longs for the contact of
warm
articles
and
is
attended
with a heaviness, itching sensation, swelling, excessive

whiteness and a constant deposit and discharge of slimy
mucus.
The
special
type
of this disease which has
Chap. VI.
UTTARA-TANTARAM.
the vitiated condition of the blood, L
is
<?.,
21
its
origin in
the
Eaktaja type
marked by redness
of the
eyes,
flow of
copper-coloured tears, as well

Pittaja type of the disease
stripes all along.
as the
symptoms of the
and the presence of deep red

the (four)
3-6.
Causes of Adhimantha : All

forms of chronic Abhishyanda,
to
if
not properly attended
and remedied at the

of
outset,
may
is
run into as
many
if
cases
Adhimantha which
attended (invariably)
with an excruciating pain in the eye, which seems as
being torn out, the pain extending upward to and crushing, as

it
were, the half the region of the head.
The
each
characteristic
symptoms
of the
Doshas involved
7.
in
case are also seen to supervene.
Symptoms of Vataja Adhimantha i

In the Va'taja type of
Adhimantha the eye becomes

stick)
cloudy and seems as

with an
if
being torn out and churned as

attended
Arani (fire-producing wooden

irritating,
with an
and cutting pain, as well as with a swelling of the local flesh, and a half of the
piercing
is
head (on the side of the affected eye)

swelling, shivering
afflicted
with
a twisting and cracking sensation as well as with local
and
pain.
8.
Symptomsof Pittaja Adhimantha :

The symptoms which mark the Pittaja type of Adhimantha are the blood-streaked eye attended with secretion and a sensation therein of being burnt with fire, as well as swelling, perspiration and suppuration in the
affected
organs,
yellowish
in
vision,
fainting
fits
and a
case
burning sensation
the head.
The
as
if
eyes in
this
become with an
liver-coloured
alkali.
9.
and seem
ulcerated or rubbed
Symptomsof Kaphaja Adhimantha

In
the
Kaphaja type
of
Adhimantha the eye
is
22
swollen
THE SVSHRVTA SAMHITA.
f Cfaa P*
V1,
with a slight congestion (inflammation).
Dis-
charges with a sensation of itching, coldness and heaviness in the localities

set in,
and there
is
horripilation.
The eye becomes slimy with deposit of mucous matter. The sight becomes cloudy, the nostrils are dilated, the
head aches and
all
objects
seem
to
be
full
of dust.
10.
:
Symptoms of Raktaja Adhimantha
A pricking pain in and a blood-streaked secretion from the affected organ which looks (bright red) like a
Bandhujiva flower, are the symptoms which mark the
type of Raktaja Adhimantha (due to the vitiated blood).
The eye becomes

least
if
painful
and incapable of bearing the
touch or contact, and the objects of vision seem as

in
enveloped
flames.
The
extremities
of the eye
become red and the whole

in blood.
II.
:
origin
of the cornea (black

fruit
coat of the eye) looks like an
Arishta
submerged
The prognosis
A course of injudicious
may
in five
diet,
conduct or medical treatment

of vision in seven days from
usher in the blindness
an attack of the Kaphaja

days from
six days
type of Adhimantha (Ophthalmia) and

the Vataja
that of the blood-origined (Raktaja) type, in

in a case of
Adhimantha and instantaneously

in- the
within three days of the attack)

(i. e.,
Pittaja
type of
Adhimantha.
12.
Symptoms of Sa-sopha and A- sop ha

Akshi-psCka : A
exhibits the following
case of
Sa-s'opha-Netra-pj&a
deposit of
symptoms, v is., itching sensation, mucous matter (in the eye), lachrymation and
is
a redness of the eye like the colour of a ripe Udumbara

fruit.
There
a burning sensation in the eye-ball which
becomes copper-coloured, heavy, and attended with a pricking pain and horripilation. The eye becomes
swollen and constantly secretes either cold or hot slimy
Chaf. VI.
UTTARA-TANTARAM.
and ultimately suppurates.
disease,
23
All these symp-
discharges,
toms except swelling mark the (non-swollen) A-s'jpha-
Netra-p4ka type of the

'
13.
The 'deranged Vayu
getting incarcerated in the optic

sight,
nerve (Sira) impairs the faculty of
and gives
rise to
an incurable disease which

(blinding Ophthalmia).
is
called
Hata'dhimantha
pain
shifting
experienced
or of the
sometimes
in the
region
of the eye-lashes*
eye-brows and sometimes in the region of
the eye,
owing to the coursing of the deranged and incarcerated
Vayu in The
those localities,
disease
in
is
called Va'ta-Paryaya.
eye-lids
14-1
5.
which the
always
it
hard and remain
closed,
become dry and the vision becomes

to
cloudy and hazy, and

the eye-lids,
is
becomes very painful

the
open
called
îshkaTtshi-pa'ka.t
The
due to
in
excessive pain in the eyes or in the eye-brows
the action of the deranged

region of the head, the
of the neck
cars,
Vayu
incarcerated
the
the cheek-bones, the back

(a
(Avatu), the
Manya
in
particular nerve
(adjacent)
on either side of the neck), or

place,
is
any other
16-17.
called the Aoyato-va'ta.
The
swelling of the eye attended with a bluish
red
tint all about,
owing to the partakings of meals composed of an unduly large proportion of acid articles, or
of such food as
action,
is is
followed
by a digestionary acid
all
re-
called
the
AmMdhyuBhita-Diishti.
The
disease
in
which the veins
over the eye become
copper-coloured and are frequently discoloured, whether
attended with pain or not,
is
called the Sirotpa'ta. 18-19.
Midhava in Midhava in
the the
is
Nidana does not mention
the eye-lashes.
that a highly
l
Nidana reads ^s^g^ which means
burning sensation
produced in the affected eye, in place of "fqtjf
^H
"
a word which seems redundant.
24
THE SUSHRUTA
SAMIIITX.
Chajv,VI.
A
in
case of Sirotpata,
if
not attended to and remedied

rise to
time through ignorance, gives

in
transparent and
copper-coloured discharges
copious quantities from
the eyes and produce a complete blindness of vision.
This
is
known
as the Sirrf-harsha.
sixth
20,
Thus ends the

Samhiti which
chapter of the Uttata-Tantra in the Sus'ruta
treats of the diseases affecting the eye as a whole.
CHAPTER
Now.we
the Drishti
shall discourse
VII.
with the pathology of the diseases which are peculiar to

(pupil)
of
the eye
i.
(Drishti-gata-
Roga-Vijnaniya).
Experts well-versed
in the
anatomy of the eye aver

eye
is
that the Drishti (pupil) of the
the quintessence of
the five material elements with that of the eternal light
predominating therein
this
principle
this case.
of light neither
It
is
increasing nor decreasing in
naturally
accustomed to cold from the very nature of
its
tempera-
ment and
is
covered by the outer coating (Patala) of the

It
organ proper.
looks like a
hole and
or
is
equal in
dimension to that
of a Masiira seed
its
pulse*.
The
pupil of the eye resembles in
action
the phosphoresparticle
cent flash of a
of
it).
glow-worm or that of a minute
fire (in
not burning the things coming in contact with

shall describe the
Now we
pathology of the twelve
kinds of disease peculiar to the region of the Drishti

(pupil), as
well as of the
one which
is
known
as Timira
(loss of vision)
affecting the
Patala (coating over the
pupil).
2.
All
sight
external
objects
appear dim and hazy to the

of the locality passing
when the deranged Doshas
through the veins (Sira) of the eye, get into and are
incarcerated within the first Patala (innermost coat) of
the pupil (Drishti).
3.
Symptomswhen
attacked
*
second
flies,
False images of gnats,
f hairs, nets or
Patala
cob-webs, rings (circular patches), flags, ear-rings appear

According to Nimi, quoted in Madhava's commentary by S'rtkantha,
the dimension of the

pulse.
Drishti
is
equal to only a half of that of a Masur*-
26

seem
to
cha P- VIL
to the sight, and the external objects

in mist or
be enveloped
haze or as
if
laid
under a sheet of water or as

differ-
viewed
in rain
and on cloudy days, and meteors of
ent colours
in the
seem
to be falling constantly in all directions
event of the deranged Doshas being similarly con-
fined in the
second Patala (coat) of the Drishti.
In
such cases the near appearance of an actually remote

object
and the contrary {Miopia and Biopid) also should

in
be ascribed to some deficiency

(error
the range of vision
of refraction
in
the
crystalline lens)
which
in-
capacitates the
patient from
looking through
4.
the eye
and hence from threading a needle.
Symptomswhen
attacked
those placed
:
third
Patala
Objects situate high above are seen and

unobserved when the deinfiltrated into the
below remain
ranged Dosha are

of the Drishti.
Third Patala
(coat)
The Doshas
affecting the Drishti (crystal-
line lens), if highly enraged,
impart their specific colours
to the objects of vision.
covered with a piece of cloth.

persons with ears and eyes,
i.e.,
Even large objects seem to be The images of objects and

etc.,
bereft
situated at
seem to be otherwise those organs. The deranged Doshas and obstructing the lower, upper and lateral
of
Drishti
(crystalline lens)
parts of the
respectively shut
out the view of near, distant and laterally-situate objects.
A dim
and
and confused view of the external world
is all
that can be had

affect the
when
the deranged Doshas spread over

(crystalline lens).
whole of the Drishti

if
thing appears to the sight as
cutjinto
two (bifurcated)
when the deranged Doshas

lens,
affect
the middle part of the
and as
triply divided
are scattered in
and severed when the Doshas two parts while a multifarious image
;
of the
same
object
is
the result of the manifold
distribu5.
tions of movability of the
Doshas over the
Drishti.
Chap. VII.
UTTARA-TANTAUAM.
2?
Symptomswhen
attacked
fact of the
fourth
results
Patala
from the
Loss of vision (Timira)
deranged bodily Doshas being confined within
the fourfh Patala (choroid) of the organ.

is
When the vision

it is
completely obstructed by the aforesaid cause,
called a case of Linga-na's'a (blindness).
Only a
faint per-
ception of the images of the sun, the

the heaven, a flash of lightning or
brilliant objects
is
moon and
the stars,
any other such highly

(blindness)
possible in
a case of superficial (not

Linga-nas'a
6.
is
deep-seated) Linga-nas'a.
also called N/lika
The
and Kacha.
Specific traits of Timira : All

objects are
external
red-
viewed as cloudy, moving, crooked and

in
coloured in the Va'taja type (of Timira), while
the
Pittaja type they appear to be invested with the different

colours of the spectrum or of the rain-bow, of the
glow-
worm, of the
flash of lightning,
or of the feathers of the
pea-cock, or with a dark blue tint bordering
on black
while in a case of
like that
Kaphaja Timira,
in
a thick white coat
of a
pack of white clouds or a deep white

everything which
chowri (Chamara) seems to intervene
look white and oily and dull and appear hazy and cloudy
in a fine
day, or as
if
laid
under a sheet of water. In a case
Baktaja type of Timira, all objects appear red or envoloped in gloom, and they assume a greyish, blackish
of the
or variegated colour.
In a case of Sa'nnipa'tika Timira,
the outer world
looks
vareigatcd and confused, appears

to
as doubled or trebled
stars
the vision (of the patient), and
and
planets, either defective or supplied with addi-
tional limbs,
.
seem
to float
about
in
the vision.'
7-1
1.
Pariml&'yi :The
quarters of the
if
heaven look
yellow and appear to
the sight as
resplendent with
if
the light of the rising sun,
and
trees
in
seem as
case
sparkling
with the tangles of
fire-flies
of Parimlayi,

Cha P- VIL
28
which should be ascribed to the action of the deranged

Pitta
in concert
with the vitiated Wood.
12.
The different.colours
the colours of the pupil
Linga-nas'a.
in
of the pupil in
shalfdescribc
different
Cases Of Linga-nasa : Now we

in
the six
types of
The
pupil assumes a reddish (Aruna) colour

;
the Vataja type of the disease
looks blue or bluish
yellow in the Pittaja, white in the
Kaphaja and
it
blood-
red in the blood-origined one, while
assumes a varie-
gated hue in the Sa'nnipa'tika type of Linga-nasa.

cular patch (Mandala) tinged
cir-
with a shade of bluish or

like
fire
bluish yellow colour
and looking
or a piece of
thick grass,
formed on the pupil owing to the diseased and aggravated condition of the blood (with pitta) in a
is
case of Parimlayi.
In this case the patient
is
sometimes
permitted to catch faint glimpses of the external objects
owing to the spontaneous and occasional filtering away of the deranged Doshas obstructing the vision. 13 1 5.
Specific Traits of Linga-nasa :The

circular patch (over the pupil) in a case of Vrftaja Linganas'a is red-coloured,
and
is
moving and rough

is
to the
touch, while that in a case of Pittaja Linga-nas'a

or yellow or coloured like bell-metal.
in a case of
bluish
The
circular patch
Kaphaja
Linga-nAs'a
is
thick, oily
and as
white as a conch-shell, a
Kunda
and
fro
flower or the
moon
is
resembling a white drop of water on the moving lotus

leaf
and moving away

circular
to
when the eye

case?
rubbed.
The
patch over the pupil in a

is
of
Raktaja
(blood-origined) Linga-nasa
red-coloured like a coral
or a (red)
disease
(pupil)
is
lotus-petal.
Sanuiprftika
type of the
marked by a variegated colour of the Drishti and by the specific symptoms of the different
16.
Doshas.
The
total
number of diseases peculiar
to
the Drishti
Chap. VII.
UTTARA-TANTARAM.
The
six
29
is
twelve.
types of Linga-nas'a (Drishti) have
been described above.

disease,
The
six
other
forms
are
of the
peculiar to the
Drishti (pupil)
named
as
Pifra-vidagdha-Drishti,
Sleshma-vidagdha-Drishti,
Dhuma-dars'in, Hrasva-Jatya, Nakulandhyata and

bhirika.
17.
Gam-
The
disease in which the region of the Drishti (pupil)
assumes a yellowish colour,
and
all
external objects
appear yellow to the sight owing to the presence of the

vitaited
(and augmented) Pitta in the region

is
of the
Drishti
called Pitta-Vidagdha-Drishti.
It is
due to
an
the
accumulation
third Patala
of the
(coat)
deranged Dosha
of the
eye,
(Pitta) in
and the patient

in
cannot see anything in the day, but can see only

night.
18.
the
when by the accumulation of the deranged Kapha. The deranged Dosha (Kapha), in this case, is simultaexternal objects appear white to the sight
it is
The
affected
neously divided over

eye.
all
the three Patalas (coats) of the

is
In
consequence of this the patient
attacked
in
with nocturnal blindness,
being able to see only
the daytime owing to the (melting
and) decrease of the
deranged Kapha through the heat of the sun.
This
is
known as Sleshma-vidagdha-Drishti. 19. The external objects appear dusky or smoke-coloured when the sight is affected through grief, (high and protracted) fever, over-straining or excessive
cise,
physical
exer-
or injury to the head, etc.
The
affection of vision
thus
sight).
engendered
20.
is
called
Dhuma-Drishti
(smoky
The disease in which small things can be viewed only with the greatest difficulty (even) in the daytime,
but can be viewed (easily and clearly) in the night owing
to
the subsidence of the deranged pitta through the
30
C^P- vlt
coldness of the atmosphere (and a general cooling of the

Earth's surface)*
is
called Hrasva-jjftyaf.
in
21.
The form
bles (and
is
of occular affection
which the colour

like) that
of Drishti (pupil) of a
man
affected
by the DoshaS resem-
found to emit (luminous) flashes

in
of a
mungoose
appear
consequence of which the external

multi-coloured
in the
objects
day
time,
is
called
Nakulandhya.
The form
of occular affection
due to the action of the deranged Vftyu, and in which the Drishti (pupil) is contracted and deformed and sinks
into the socket, attended with affected parts,
is
an extreme pain
22-23.
in
the
called Gambhirika'.
Besides the above, there are two more
forms of
Linga-iiasa of traumatic origin,
via.,
Sa-nimitta (of ascer-
tainable origin) and A-nimitta (without

ascertainable
cause).
any manifest or
group
Under
the
first
may
etc.),
be
arranged those %vhich are produced by such causes as
an over-heated
condition of the head (brain,

specific
and
in
marked by the
Abhishyanda,
symptoms
is
of (blood-origined)
while the
second comprises
those
which the
loss of one's vision
due to causes, such as

or effulgence
the witnessing of divine
halo
emanating
from the ethereal person of a god, or a Gandharva (demigod), a holy saint, a celestial serpent, or such other
* The latter part of the Madhava does not read the last text
line
here
in
seems
his
to
be
incongruous.
Nidana, nor does Dallana

that
include
it
in his
commentary.
Dallana, on the othei hand, says
some
is
read this line,
but holds,
on the authorityof Videha, that the reading

"Hrasva-jatya"
is
incongruous, in as
much
as
said to cause
one of the
four types of night-blindness.
+ Some read Hrasva-jadya
in place of Hrasva-jatya.
% This shows
that
man
to be
affected with this
form of disease cannot
see anything in the night. S
The head
is liable
over-heated
by the smelling of poison or

etc.
poisonous objects or any other strong-scented flower,
Chap, VII
UTTARA-TANTARAM.
In this case
highly bright object.
the eye
is
not out-
wardly affected and the pupil (Drishti) looks as bright
and
clear as
a Vaidurya gem, while in the former case

origin)
(of ascertainable
the eye
is
characterised
by a
24.
sunken or pierced or impaired aspect of the pupil.
We
which
have thus
finished
describing
separately the
diagnostic traits
affect the
of the seventy-six
forms of disease
shall
organ of
vision.
We
hereafter
separately deal with the nature of the medical treatment

to
be pursued
in
each
case.
25.
Thus ends the seventh chapter of the Ultara-Tantra

Samhita which
pupil of the eye.
treats
in
the
Sus'ruta
to the
of the
pathology of the diseases peculiar
CHAPTER
Now we
shall discourse
VIII.

according to
with the classification of occular affection

the different
(Netra-RogaChikitsa-Vibh^ga-Vijnaniya). Classification :We have already described

modes of treatment
i.
the names and
symptoms of the
shall
seventy-six kinds of
eye disease.
We
now
briefly
and severally deal

in
with the nature of treatment to be pursued
them.
Of
these seventy-six
kinds eleven
should
be treated
scarifica-
with incision operations (Chhedya), nine with

tion (Lekhya), five with excision (Bhedya),
fifteen
with
venesection (Vyrfdhya)
twelve cases
should
not be
operated upon and
seven
admit only of
should
palliative
measures (Yipya), while
fifteen
be given up by
in-
an experienced physician (Ophthalmic surgeon) as

curable.
The two kinds
of eye-disease of traumatic
origin should be likewise held as incurable or admitting
only of palliative measures at the best.
2.
Names of the Chhedya and Lekhya

eye-diseases
Pidaka,
Sira-jala,
:
Diseases which should be

five
treated
with incision are Ars'o-vartma, Sushkars'as, Arvuda, Sirathe
types of
in
Arman*,
and
Parvanika (thus numbering eleven
all).
Diseases in
which
fioarification should
all)
be resorted to (numbering
Bahala-vartma,
seven in
are Utsangini,
Kardama-
vartma, Syava-vartma, Vaddha-vartma, Klishta-vartma,

Pothaki, Kumbhikini, and Sarkara-vartma.
3-4.
Names of Bhedya and Vya'dhya eyediseases

*
Optical diseases
2,
in
which the affected
See Chapter IV, para
UUara-Tanlara.
Chap. VIII.
UTTARA-TANTARAM.
33
localities
should be treated with excisions, are Sleshmo-
panaha,
Lagana,
Visa-vartma,
all.
Krimi-granthi
and
of
Anjana
thus numbering five in
The two kinds
eye-disease beginning with Sira
viz.,
Sirotpita and Sira-
harsha, the two kinds of Akshi-pika attended or un-
attended with
swelling,
viz.,
Sas'othakshi-paka
and
As'othakshi-paka,
and
Anyatovata,
Puyalasa, Vata-
viparyaya and the four types of Abhishyanda and the

four types of
Adhimantha should
5-6.
be
treated
with
Venesection (Sira-vyadhana).
Eye-diseases not to be operated :

Operations should not be resorted to in cases of Sushkakshi-paka,
Drishti,
Kapha-Vidagdha-Drishti,
Pitta-VidagdhaArjuna,
Amladhyushita-Drishti,
>ukra-roga,
Pishtaka, Aklinna-vartma, Dhuma-dars'in, ûktika, Prak-
linna-vartma and Valasa

In the traumatic
thus
making twelve
eye-disease
7.
in
all.
forms also of
surgical
operations are not advised by experts.
Names of curable and incurable eyedisease

!
Palliative
in
if
or
temporary
in
relief
is
all
that can be offered
any of the six types of

the affection
described before, as well as
Kacha known as
Pakshma-kopa,
sight.
the patient retains the faculty of
Four of the Vayu-origined, two of the Pittaja, one of the Kaphaja, four of the blood-origined and four of the types caused by the concerted action of the three Doshas, as well as the two traumatic forms of optical affections should be regarded as beyond all cure. 8-9.
Thus ends the eighth chapter of
Samhiti which deals with the
the different
the

of eye-diseases
classification
according to
modes of treatment.
CHAPTER
Now we
shall discourse
IX.
on the remedial measures of
Abhishyanda (Ophthalmia) due to the action of the

deranged vayu
(Va'ta'bhishyanda-Pratlshand matured a case of (Vataja) Abhishyanda

then duly*
to.
edha)*
The
i.
patient should be treated with old
clarified butter,
both
in
(Ophthalmia) and (Vataja) Adhimantha (Conjunctivites).
The
and
diseased
local
organ should be
fomented
having
Sneha-vasti
venesection resorted
Then
of a
after
effected full
purging with the help
(oleaginous enema), such measures as Tarpana, Puta-
fumigation, sprinklings (As'chyotana) f, snuffing (Nasya), oily washings, Siro-vasti (errhincs) or washing
paka,
the organ with Kanjika (Amla) or with any
decoction
prepared with the drugs of the Vayu-subduing group

or with that of the flesh of or of one frequenting the
any aquatic (Jalaja) animal, marshy places (Anupa), should
be
resorted
to.
butter, curd, fat
compound consisting of clarified and marrow should be applied lukeaffected
warm
to the
organ,
of the
which should also be

forehead adjoining the eye
* It should be noted that the part
and not the eye
itself
should
be
fomented, since fomentation should not
be applied directly over the eye.

t As'chyotana with the two
stance.
Its
(Eye-drop)
Consists
for
in
dropping into
the eye
fingers,
honey, A'sava, drug-decoction or any oleaginous subeight drops scarifying
doses are
purposes,
ten drops for
lubricating the part with

for the
any oleaginous substance (Snehana), twelve drops
healing of any local ulcer (Ropana).
They should be dropped

eyes.
luke-
warm
Pitta
in winter
and cold in summer into the a

bitter taste
;
In diseases of Vataja
origin they should be of

;
oleaginous in diseases
in
due to the
to
and bitter, warm and
parching
in the
diseases due
Kapha.
Cf.
Vaidyaka Nighantu as quoted

also Chapter
Vaidyaka-S'abda-Sindhu.
XVIII, Uttara-Tantra.
Chap. IX.]
UTTARA-TANTARAM.
J5
covered with a compress or linen soaked with the preceding

lardacious compound.
Milk, Ves'avara, Salvana

etc.,
Poultice, Porridges (Payasa),
should be used by a
physician in poulticing the affected organ.

clarified butter
portion of
TripJiald,
cooked with the decoction of
or simply old and matured clarified butter, or milk duly
cooked with the drugs of the Vayu-subduing group, or of the first group (viz., Viddri-Gandhddi Gand) should
be taken after the meal.
2.
A.
lardacious substance
The
than
oil
application of any
other
cooked with the admixture of the Vayu-subwill
duing drugs
prove beneficial for
Tarpana purposes
in such cases.
The
use of medicated Sneha in the shape
of Fatapa'ka,
likewise
Dhuma
(fumigation) and
Nasya
(snuffs) is
recommended.
Oil (duly) cooked with Sthird,
milk and the drugs of the Madhura group should be
employed as a snuff (in such cases). The milk of a she-goat duly cooked with the admixture of the leaves,
roots or barks of
Eranda
plants,
or with the roots of
Kantakdri, should be employed lukewarm
(Sechana) the affected organ.

taining half milk
liquid
washing compound conin
and half water, and boiled together with Saindtiava, Vdld, Yashti-madhu and Pippali, should
washing the eye as well as an Aschyotana (eye-drop). A liquid compound consisting of the milk
be used
in
of a she-goat diluted with the addition of water, boiled
with the admixture of Hriveta, Chakra (Tagara),

jishthd,
Man-
and Udumdara-burks
B.
plaster
is
considered to be the
(S>ula) in
best
eye-drop in cases of there being any pain

2.
the eye.
thin
compound
of
Yastki-madhu, Rajani,
Pathyd and Devaddru, pasted together with the milk of a she-goat should be used as an Anjana (collyrium) in
a case of acute Ophthalmia (Abhishyanda), and
it
proves
36
very
THE StfSHRUTA SAMHITX

effective.
tChap.il
Ktisknd,
GairikcK&rth,
Saindhava,
(Pippali)
and S'unthithe quantity of each subsequent

it' in
one being double of that of the one preceding
the
order of enumeration, should be pasted together with

water,
made
into Gutika (a
large
pill)
and be likewise
application
applied (to the eye) in the

of an Anjana.
manner
of the
The
use of Snaihika (lardacious) Anjana
(Collyrium)
is
beneficial in
such cases.
2.
These
will
be
duly dealt with later on.
Physicians should likewise

treating
cases
adopt
this
method
in
of Anyato-va'ta
clarified
and Vdta-paryaya.
butter and
Draughts of (medicated)
of milk
butter
before the meal, are highly efficacious.
Clarified
duly cooked with (two parts
of) Vrikshddani, of) the
Kapittlia
and major Pancha-mula, (one part

juice (or decoction) of
expressed
of)
Karkata and (one part

such cases*. with (the decoction
milk
should be taken
in
In the alternative,
of)
Ghrita duly cooked
Pattura,
Agnika (Ajamoda)
clarified butter
and Artagala
and with milk, or
duly cooked with milk and (the decocof
tion of)
Mesha-s'ringi, or
3.
Viratara should be simi-
larly taken.
Treatment of dushka'kshl-pa'ka :
Saindhava, Devaddru and
juice
S'untki and the expressed

breast-milk
of Mdtulunga,
water,
and
(in the
clarified
butter
mixed together and duly prepared
manner
clarified
of Rasa-kriya) should
be prescribed as an Anjana in
cases of ûshkt&shi-pika.
The
taking
of
* According
to
Dallana and
Gayadasa,
this
Ghrita should be pie-
pared without any Kalka.
S'rikartta
holds that the drugs Vriishaddni,
Kapittha and the Pancha-mula should be taken as Kalka and the Ghrita
prepared with three parts of milk.
view.
S'ivadasa also
seems
to
support this
Chap. IX.l
UTTARA-TANTARAM.
37
butter cooked
with the drugs of the Jivaniya group and
the
filling
of the cavity of the
eye with the same, as

cold milk with the
well as snuffing with the

in
Anu-taila* are also efficacious
such cases.
Washes composed of
admixture of Saindhava salt or of milk cooked with Rajani and Deva-ddru and mixed with (a little quantity
of)
Saindhava are
also
efficacious.
MahausliadJia (Sunthi)
butter
rubbed over a stone-slab with

milk
is
clarified
and
breast-
recommended
as
an Anjana
(eye-salve)f.
The Vasa
little
(essence of the flesh) of aquatic animals or of
those which frequent
swampy
grounds, mixed with a
quantity of powdered S'unthi and Sanidliava salt

stone-slab)
(and rubbed on
eyes as an
should
be applied to the
Sushkakshi-
Anjana (collyrium)
in a case of
p&ka (Non-secreting type of

intelligent
conjunctivites).
Let the
physician treat the sight-destroying Vataja

in
affections of the eye of what-soever kind
accordance
with the principle herein inculcated.
4-5.
Thus ends the ninth Chapter
of the
Samhita which deals with the medical treatment of Vataja Abhishyanda.
* According
to
Dallana, this Anu-taila

;
is
not the one described in
Chapter
Tantra.
of the Chikitsita Sthana
but the one described in the S'alakya-
t This couplet may also be translated as follows : Anjana (blackantimony) rubbed over a stone-slab with clarified butter and breast-milk
is
also
recommended
as a best
remedy
in such cases.
CHAPTER
Now we
Pitta
shall discourse
X.
on the curative treatment of
Abhishyanda (Ophthalmia) due to the action of deranged
(PittsC-bhlshyanda-Pratlshedha). i. General Treatment : Blood-letting and

eye-washes
purgatives,
and
plasters
round the
eyes,
medicinal snuffs and Anjana (collyrium), as well as the
remedial
should
measures
for
Pittaja-Visarpa
(Erysipelas)
be employed in a case of Pittaja
Abhishyanda
2.
(Ophthalmia) and Pittaja Adhimantha (Conjunctivites).

Clarified
butter or goat's
milk duly cooked with

S'aila-bheda,
Gundrd, S'dli (paddy),

haridrd, Eld, Utpala,
taka), Padma-\ea.ves,
S'aivdla,
DdruVetasa,
two parts of Lodhra, Abhra (Mussugar, Durvd, Iks/iu, Tdla,
Padmaka,
Drdkshd,
honey, (red)
Chandana, Yashti-
&M%,breast-milk, Haridrd and Ananta-mula, should be
employed as a Tarpana measure* or as a wash or

snuff
in the
present
case.
preceding drugs or as
many
3.
of
able should be daily used in

four forms of Nasyaf.
As an alternative, all the them as would be availthe manner of any of the

Pitta-subduing
Anjanas
may
cinal
All
as
the
measures,
be employed in such cases.

snuffs (as well
(clarified
Application of medi-
eye-drops, etc.) with Kshira-
Sarpih
butter
churned
from
milk) at the
interval of three days, as well as that of
Anjana
(colly-
rium) with the expressed juice of Palds'a or of S'allaki,
mixed with honey and
sugar, should be likewise resorted
See Chaptet XVIII,
ibid.
The
four forms of
Nasya
are (1) rralimarsha.
(2)
Avapida
(3)
Nasya
(snuff)
and
(4) S'iro-virechana.
Chap. X.
UTTARA-TANTARAM.
thick liquid extract (Rasa-Kriya)*
39
of Pdlindi
to.
The
or Yashti-madhu
be Iikewfce employed.
mixed with honey and sugar, should As an alternative, a com-
Samudra-phena, Utpala, pound consisting of Musta, Vidanga, Eld, Dhdtri and Vijaka and prepared in the
manner of
Anjana).
4.
Rasa-kriya
should be
employed
(as
an
Acompound
of Tdlisa (D. R.
Karfis'a),
Eld, Gairika,
UJira and Samkha
(conch-shell)
pasted with breastin
milk should be applied to the affected organ
the
manner
(D. R.
of an
Anjana
(eye-salve).
As an
alternative,
the powder or the Rasa-kriya of Dhdtaki and Syandana
Chandana)
compound
mixed with breast-milk should be

Gold-leaf
used as
an Anjana.
rubbed
with
breast-
milk, or the flowers of Kims'uka
rubbed with honey,

Utpala,
or of a
of Rodhra, Drdkshd, sugar,
Vacha and
Yashti-madhu
rubbed
with
breast-milk
should be used as an Anjana. Barks of Varnakaf pasted

in cow's milk, or (red)
Chandana wood, Udumbara and
Toya (Vila) pasted

rubbed either
in
in the same, or Samudra-phena honey or breast-milk should be like-
wise applied to the eyes in the
manner
of an Anjana.
5.
ASChyotana : Rodhra,
Yashti-madhu, Drdkshd,
breast-milk.
It
sugar and Utpala should be soaked in
should then be folded inside a piece of silk (Kshaumd)
and employed as an As'chyotana (eye-drop). A compound of Yashti-madhu and Rodhra rubbed in clarified butter
should be similarly
used.
compound
of Kds'tnari
(Gambhari) Dhdtri, Pathyd (Haritaki) and Tbya (Vila),

* For preparation of Rasa-kriya see Chapter XVIII, ibid.
t According
also
to
Dallana,
'Vantaka' Imeans
is
'
Rochanika'
It
may
or by
mean
'Karnika'ra'
It
which
not accepted either by

is
Gay
Dallana.
may
also
mean 'Chandana' which
most probably the
meaning
here.
40

and
tOP-X.
(Vila) should
as well as that of Katphala
Ambu
be similarly* prepared and applied. 6. All the above remedial measures with the exception
of blood-letting should be resorted to in a case of
Amla-
dhyushita-Drishti
and Sukti-paka. The medicated Ghritas known as the Traiphala Ghrita or the Tilvaka Ghritaf should be prescribed, or simply old and matured
butter should
clarified
be given
in
such cases.
7.
In a case of Sukti-pa'ka an Anjana with cooling drugs
should be speedily employed in the event of the Doshas being located in the lower part of the eye. Fine powder
Vaidurya gem, Sphatika (crystal), Vidruma (coral) and Muktd (pearl), Samkha (conch-shell), silver and gold mixed with sugar and honey and used as an anjana would prove a speedy remedy in a case of >ukti-paka. 8. Clarified butter should be administered in a case of
of
Dhuma-dars'in and the procedure and the remedial measures laid
down
in
connection with Rakta-pitta
and
Pitta-
Pitta-origined Visarpa (Erysipelas) as well as the
sub-duing remedies
in. 9.
should be likewise employed there-
Thus ends
the tenth chapter in the Uttra-Tantra of the Sus'ruta
Samhitd
which deals with of the curative treatment of Pittibhishyanda.
first two compounds, some take 'Toya' and 'Ambu" for But Dallana having explained 'Toya' as 'Valaka' in a preceding compound we adopt that meaning of the word here also.
* In the
water.
t Traiphala-Ghrita
Cbikistsita-Sthana.
is
the Kalka and decoction of Trifhala'.
piepared by duly cooking clarified butter with For Tilvaka-Ghritaisee chapter III.
J By Ktta-subduing remedies
laid
Dallana means the remedial measures clown in connection with the treatment of Pitta-Vidagdha- Drishti.
CHAPTER
Now we
shall
XI.
discourse
with the curative treatment of Abhishyanda due to the
deranged action of 5>leshma
(dleshmbhlshya
i.
nda-Pratlshedha). General Treatment : An

maja Abhishyanda or
attack of Sksh-
Adhimantha during the stage of acute aggravation should be treated by opening a local vein* or by the employment of fomentation, AvapidaNasya, Anjana, fumigation, washes,
paka.
fourth
plasters, gargles or
non-fatty (Ruksha) eye-drops (As'chyotana)
and Putaon each
The
patient
should
be
made
to fast
day and to take a potion of Tikta-Ghrita-f in the morning, and his diet should consist of such articles as do not lead to the aggravation of the bodily Kapha. 2-3. Tender twigs or leaves of Kutannata, Ashpotd, Phanijjhaka, Vilva, Pattura^ Pi/u, Arka and Kapittha\ should be employed in (mildly) fomenting the affected eye. A thin plaster composed of Vdlaka, S'unthi, Devaddru and Kushtha, should be likewise applied to the
affected eye.
4.
Hingu, (Asafoetida),
Trip/iald,
Yashti-madhu
Sain-
dhava, Prapaundaika, Anjana (black Antimony),
Tuttha
(Sulphate of copper), and copper pasted
together with
The word
'Atha'
(W(V)
in the text
means says DaUana,
that
the
etc.
local vein should
be opened as the best resource,

a cure.
when
fomentation,
would
t
foil to effect
See Chikitsila-sthana, chapter IX.
t
ever
is
read "Surasa" and "Arj'a".
In place of "Kutannata" and "Arka" both Vrinda and Chakrapani S'rikantha the commentator of Vrinda howof opinion that
Arka should be
better reading
in place
of that of
"Atya".
42
THE SUSIIRUTA SAMHTTX.
[Chap. XI.
water and madcinto a stick (Varti) should be applied a
>
an Anjana to the affected eye. As an alternative, sticks (Varti) composed of Pathyd, Haridrd, Yashti-mbdhu and
Anjana should be similarly applied.

of the equal parts of Pippali,
Compounds made
S'unthi, Hatitaki,
Markka,
Amilaki, Vibhitaka, Haridrd and
Vidanga-seeds,
or of
Vdlaka, Kushtha, Deva-ddru, (burnt) conch-shell, Pdthd

(Akanidhi),
Anala (Chitraka
roots),
Pippali, Maricha,
S'unthi and Manah-s'ild (Realgar) and

Jdti,
the flowers of
Karanja and
S obhdnjana*
pasted together with
water should be applied to the eye.

flowers of the two kinds of
j'ana,
The seedsf
of
Prakiryd (Karanja), or of S'igru with the seeds and

Vrihati mixed with Rasdn-
Chandana, Saittdhava-s&li, Manah-s'ild, Haritaki,

in
and
garlic taken
equal
parts
and pasted together

(Varti)
with water should be

as an
made
into sticks
and used
Anjana in all forms of Kaphaja eye-diseases. 5. The following medicinal compounds should be prescribed by experts as an Anjana (eye-salve) in a case of
after the
VaWsa-Grathita
system of the patient had
been properly cleansed by
means of blood-letting.
quantity of blue barley with the horns should be soaked

(for
a week or two) in milk and dried (after the manner

It
of Bhavana saturation).
ashes.
should then be burnt into
These ashes should then

part
of burnt
be mixed with an
Arjaka,
equal
ashes of
Ashphotaka,
a'ka-
Kapittha, Vilva, Nirgundi and Jdti flowers and an
Dallana quotes the reading of "Panjika'k*'ra" (another commen-
tator of Sus'ruta) according to
whom Murva!
and the flowers of Ja'ti only
should be taken instead of the flowers of Jati, Karanja and Sobha'njana.
This reading seems
to
be the correct one inasmuch as

list
this
makes the
number of the drugs

t
in the
twelve in
all,
as given by Dallana himself.
According
to
some commentatois both the seeds and flowers of
fraiir/d and of &igru should be taken.
Chap.
XL
UTTAKA-TANTKAM.
43
line solution should
be duly prepared therewith. Sain-
dhava, Tuttha (Sulphate of copper) and Rochand should
now be added to the above alkaline solution and duly The compound thus prepared should e applied This is presas an Anjana with an iron pipe (Nadi).
boiled.
1
cribed in a case of Va'asa-Grathita.

tions
of)
Alkaline prepara-
be similarly prepared with (the flowers, etc. Phanijjhaka etc., and may be employed in a similar
6.
may
manner.
(thin) plaster
Saindhava
and
white
composed of S'unthi, Pi/fa/i, Musta, Maricha* pasted with the
expressed juice of Mdtulnn%a and applied to the eye as
an Anjana, would bring about a speedy cure of the eyedisease
known
as Pishtaka.
7.
Vrihati fruits shou'd

paste
be gathered when ripe and a

equal parts
of)
compound
nights.
of (the
Pippali and
fruits for
Srotdnjana should be kept inside those seedless

seven
The
in
(preserved) paste should

to
then be
It
taken out and

proves beneficial
applied
a
the eye
as an Anjana.
case of Pishtaka.
Taste
may
similarly be preserved inside a
Vdrtdku
(brinjal), S'igru,
Iiidra-Vdruni, Patola, Kirdta-tikta

for the same.
8.
and Amalaki and used
Kas'is'a (Sulphate of iron), Samudra\, Rasdujamt and buds of /^/-flowers pasted together and rubbed in
honey,
case of
is
advised to
be
prescribed
9.
as
an Aujaua
in a
Praklinna-Vartma.
of excellent
A
*
single application as
composed
an Anjana of the compound Nddeya (Saindhava) \ salt,
Dallana explains white Maricha as S'igru seeds.
Samudra may
salt.
either
mean Samudra-phena
or
Samudra
salt,
i.
e,
KaraJtacha
The commentators are silent on this point. Dallana explains Nideya as meaning Saindhava, but
it
generally
eans Srolanjana (black antimony).
44
THE SUSHKUTA SAMHITX.
Chap. XI.
white pippet* and Nepdla-jdta (Realgar-lit., that which

is
produced in Nepala) taken

the
itching
in
equal parts and pasted
together with the

alleviate
expressed juice of Mdtulanga, would

sensation (Kandu) in
the eyes.
Similarly a
compound
of S'ringa-vera, Deva-ddru, Musta,
Saindltavd salt and buds of Jdti flowers pasted together
with wine and used as an Anjana would prove

cious in a case of swelling
tion of the eyes.
effica-
(Sopha) and itching sensaeye-diseases should
The above
in
be
judiciously treated
laid
accordance
with the principles
down
in the
treatment of the cases of Abhi-shyanda

10.
and Adhi-mantha.
Thus ends
Hamhita which
the eleventh
chapter of the Uttara-Tantra in
the
Sus'ruta
treats of the curative treatment of
S'leshmabhishyanda.
Dallana explains "S'veta-Maricha" as "S'igni-sccds", but there

of Maricha which
is
is
particular kind
white in colour and this
is
also
supported by some commentator.
CHAPTER
Now we
of the type
its
XII.
shall discourse
of
on the curative treatment Abhishyanda (Ophthalmia) which has

vitiated
origin
in
the
condition
of
the
blood
i.
(Raktabhishyanda-Pratishedha). General Treatment : A wise physician

shall
pursue the same course of medical treatment in
those four diseases

S'irotpata
known
as
Adhimantha, Abhishyanda,
to the
vitiated
and
S'ira-harsha
due
be
condition
of the blood.
Persons suffering from any of the aforefirst
said four complaints should
anointed and lubributter technically
cated with old and matured clarified
known
to.
as
Kaumbha
Ghrita*, or with a copious quantity
of clarified butter.
Venesection should then be resorted
The
patient, having been
made
thus to bleed as
much
as required, should be treated with clarified butter duly
ccoked with Siro-virechana drugs and mixed with sugar,

as an errhine for
cleansing the head.
Plasters, washes,
(Dhuma) of medicated smokes, eye-drops (As'chyotana), Abhyanjanaf, Tarpana (soothing measures), Sncha-karma (emulsive measures) and
snuffs (Nasya), inhalations
nature
case.
Puta-paka should then be prescribed according to the of the deranged Dosha involved in each
2
5.
composed of Nilotpala, Us'tra, KAHya, Yashti-madhu, MusUx, Lodhra and Padma-KAshtha (taken in equal parts and) mixed with
plaster (Pralepa)
DAiv-Jiaridrd,
Ghrita
duly washed, should be applied refund the region

XLV,
Sutra-Slhina.
as,
* See Chapter
t Dallana explains
"Abhyanjana"
it
collyriuiu,
but he also says that

clarified
aome commentators take

butter
in its usual sense of in water, or
anointment with
washed hundred times
such other Sneha.
46

eye.
Cha P- *"
of the affected
Mild
fomentations (Sveda),
or
leeches should be applied to the region

in the event of there
around the eye
being intolerable pain (due to any
defect in bleeding) in the affected organ. Large draughts of clarified butter tend to alleviate the
pain.
Remedial
with
6-7.
measures and agents
mentioned
in
connection
J'ittabhishyanda, should be as well employed.
Rain-water with powdered Kas'etu and Yashti-malhu
added thereto
may
be squeezed with benefit through a
piece of linen into the affected organ* as an
Aschyotana.
Flowers of Pdtald, Arjuna, S'rfpami, Dhdtaki, D/idtri,

Vilva, the
two kinds of
in
Vrihati,
and of Vimbi-lota and
Manjishthd taken
equal
parts
and pasted together

said
with honey or expressed juice of sugar-cane and applied

to the affected organ
to
as
an Anjana (Collyrium)
consisting
is
be a curative
in cases of Raktdbhishyanda.
89.
A
iron
similar
compound
of
Ch'indana,
Kumuda, Patra, S'ild-jatu, Kumkuma, powders of dead and dead copper, Tuttha (Sulphate of copper), lead, bell-metal, Rasdnjana and the resinous exudation of a
Nimba
tree taken in equal parts should be
pasted
with
honey and made into large Vartis (sticks). always recommended to be applied to the as an Anjana. 10.
consisting of
These arc
affected
eye
Treatment of îrotpa'ta : A
honey and
clarified butter
compound
in cases
and applied as
an Anjana should be regarded as a patent cure

of Sirotpa'ta
eye-disease.
Saindhava
(salt),
Kds'is'a
together with breast-milk

*
compound composed of (Sulphate of iron) and pasted should be similarly used. The
Both Dallana and S'ivadasa say that pure transparent water may be
if
used in preparing the compound
rain-wnter
also
is
not available.
Dallana
the
liquid
says further that the afftcted eye should
be washed with
compound thus prepared.
S'ivadasa, however, supports this latter view.
Chap. XII
UTTARA-TANTRAM.
an Anjana
<
47
(ccnch-shell),
application 4s
of
S'amkha
Manah-s'ild, Tuttha, JJdru-haridrd, and Saindhava pasted
with hrfney, or of (white) Marietta pasted with the juice

of S'iiislia flowers, honey and wine, or of Svarna-Garika
pasted with honey would be attended with beneficial

results in cases of Sirotprfta.
1 1.
Îl*{-harSha
'
Phdnita{ treacle boiled an Anjana

of
compound consisting of down to a sticky consistency)
and honey should be applied to the affected organ as

in
a case of Sira-haraha- Similar applications
compounds composed of Rasdnjana (Antimony) pasted with honey, or of Saindhava and Kds'is'a (Sulphate of
iron) pasted with honey, or of
Vetr&mla* and Saiud/taza
pasted with Phdnita and
breast-milk
1
would likewise
the measures
prove highly
efficacious.
2.
Treatment
and remedies
in cases of
of
Arjuna: Ai
breast-milk,
for
Pittabhishyanda should be employed

cye-discasc.
Arjuna
honey,
The expressed
in
juice of
sugar-cane,
sugar,
Ddru-haridra,
Yashti-madhu and Saindliava should be used

nation as a
combi-
wash
(Seka),
or
as
an Anjana.
viz.,
Amla
sugar,
(Kanjika, &c.) should also be used as an Aschyotana (eye-
drop) in such cases.
The
following drugs,
Yashti-madhu, Katvanga, Mastu, Amla, honey, Saindhava,

Vija-puraka, Kola and
Dddimba
or
in
of acid taste
and other
acid fruits
cither singly
combination of two or
three should
be judiciously used (as an Aschyotana
with a due consideration of the vitiated Dosha in each

case).
1314.
viz.,
These two following compounds
of Spliatika
Dallana explains "VetrAmla" us

it
"Am/a
vetasa".
Some, however,
thereby
divide
into
two words
1
viz.,
"Vetra" and
"Amla" meaning
sprouts of Vttra (cane) an
Amla-vetasa respectively.

48
(crystal),
the susiiruta
Vidruma
(coral),
samiiitX.
Ch& r-
m
and
S'amkha
(conch-shell),
Yashti-madhu, pasted with honey, as well as of S'am/cha,

sugar,
and Samudra-phena pasted with honey,
if*
used as
an Anjana would prove curative in a case of Arjuna eyedisease. Saindhava and Kataka pasted with honey, or
Rasdnjana pasted with honey, or Kds'tsa (Sulphate of

iron) pasted with honey, should
constantly be applied
15.
as
an Anjana to the affected organ.
Scarifying- Anjana : All

ed (dead) metals (Gold, Silver,
metallic substances (Manah-s
il&,
kinds of powder-
Iron, Copper, etc.)
and
five
Gairika,
etc.),
(the
officinal kinds of) salt, all kinds of

etc.),
gems ( Vaidurya,
coral
the teeth (of cows, horses,
etc.),
the horns (of cows,
etc.),
the drugs of the sedative (Avasadana) *
group,
pulverised shells of hen's eggs, Las'una (garlic), Trikatu,
Karanja seeds and Eld (cardamom) mixed together and

used as an Anjana, should be regarded as Scarifying (Lekhya) in their action. 16.
Treatment Of SSllkra : In
ulcerated
case of non-
(A-vrana) Siakra (milky film or white fleshy

the
eye)
a
skilful
growth
adopt
in
all
physician
shall
(first)
the preceding
measures
prescribed
in
the
treatment of (Blood-origined) Abhishyanda,f beginning
with Rakta-visravana
(Venesection) and ending with

failing,
Puta-paka
(and
these
the
Lekhyanjana
collyrium for scarifying) should be adopted.

ulcerated (Sa-vrana)
case of
Sukra whether
superficial
in
or deepthe
seated
or
1
rough should
be treated
same
manner.
*
7-1 8.
The group beginning wilh Kas'is'a See Chapter XXXVI,

I,
Sutra-
Sthana, page 334, Vol.
See paras 3 and 4 of (his Chapter.

"Superficial" (TJtt&na)
is
%
first
here used in the sense of "seated in the
layer" and "deep seated" (Avagridha) 'seated in the second layer'.
Chap. XII.
UTTARA-TANTRAM.
49
should be
In
a case of S'lkra the affected part

(scarified)
rubbed
seeds,
with a compound consisting of S'irisha-
or
Markka, Pippali and Saindhava pounded together, with Saindhava a'onc. A compound composed of
copper, Manah-s'ild, Marietta and Saindhava
powdered
the
in a quantity double one immediately succeeding it in the order of enumeration*, should be pounded together and made into a Applied as an Anjana to the seat of the thin paste.
each preceding drug being taken
disease,
it
will
cure a case of Snkra.
As
alternatives,
compounds composed of S'amkha, stones of Mdkshika (honey), or of teeth (of cows, etc.), Samadra-phena and S'irisha flower ani honey should be applied to the affected locality inthe manner of applying an Anjana. The Kshothe two
Kolas, Kataka, Dr&kshd, Yashti-madhu,
riujana (alkaline collyrium) mentioned

with the medical
as well be profitably
in
in
connection
treatment of Valdsa-grathita,-f
may
employed
as an
Anjana
(eye-salve)
the present disorder.
Eyc-salvcs
made
of fried husk-
less
Minima pulse, (burnt) S'omkha and sugar mixed with honey, or of the pith of Madhuka pasted with honey,
or of the inner pulps of the stones
of Vibhitaka pasted
in
with honey should be constantly used as an Anjana,

cases of the eye-disease
known
as Snkra.
compound
Yashti-
consisting of conch-shell, oyster-shell,
Drdkshd,
madhu, Kataka and honey
may
in
be used and soothing

to the
application (Tarpana) antidotal
deranged bodily
if
Viyu, should be resorted to

(Ssula).
cases of Sukra,
is
the
second layer (Patala) of the eye

19-21.
Saindhwa, two
attended with pain
One
part of
parts of Maricha,
four of Manahs'ild,
.pre-
eight of
Somkho and
sixteen parts of copper
should be taken in the
paration of the compound.
f See Chapter XI, para
6,
$0
THE SUSHRUTA
SAMIItrX.
Chap. XII.
Young bamboo-iprouts, Arushksm, Tdla (palm) and

Ndrikela
(cocoanut)*
should be burnt
to
ashes and
alkaline water should be duly
prepared therewrth.
The
in the
burnt ashes of elephant's bones should be soaked several

(seven) times with the
above alkaline preparation
manner of Bhavana
preparation in
saturation.
The
application of this
the manner of an Anjana tends to remove the discolouring nature (whiteness) of a case
of Sukra +.
22.
Treatment
of the cornea
of
Ajaka
The
thin
watery
matter accumulated in the eye in
a case of Ajaki
should be drained by making a puncture on either side

( )
with a needle after which the incidental
ulcer should be filled

clarified
with powdered beef mixed with

should
butter.
Scarification
be
many
times
23.
made
in the event of the ulcer becoming raised.
Treatment of Akshi-paka : Applications of
Sneha and of Sveda (fomentation) to the
affected
locality should be
made
in cases of the
two kinds of eyeAkshi-pika
disease
known
as
Sa-s'opha and A-s'opha
(inflammation of the eye-lid whether attended with any

local swelling or otherwise).
Venesection should then be
resorted to.
Eye-washes, eye-drops (As'chyotana), errhi-
nes (Nasya) and
Puta-paka measures should also be
employed.
24.
After having cleansed the system of the patient both

internally
and
externally
the
following
compounds
should be used as an Anjana (in cases of the two kinds
*
fruit
The spathe
(Jati) of the
palm
tree
and the
shell
of the
cocoanut
should be taken in preparing the compound
S'ivadisa.
be mixed with
tip
The
prepartd
powder
of
elephant's bine should
honey and rubbed over the affected part (S'ukra) with the
or with a S'alaki (rod).
fusion of Trifhald
of the finger
The
eye should then be washed with the in.
Pallana.
Chap. XII
UTTARA-f ANTRAlVt.
Saindhava and
should
the
clarified butter
of Akshi-pa'ka).
pasted
together in a copper vessel with flesh or Maireya or curd

or
with
curd-cream
alternative,
be used as an Anjana.
pasted with
As an
rust of bell-metal
clarified butter,
or
Saindhava pasted with breast-milk,
or equal parts of the pith of
Madhuka
tree
and Gairika
pasted with honey,
or
Saindliava and copper pasted
with breast-milk and clarified butter should be used as
Dddimba, Ataveta, As'manta, Kola, and Saindhava pasted with any acid juice*
Aojanas.
of
The compounds
should be applied to the affected

of a
organ
in the
manner
Rasa-kayi measure
25-26.
for the cure
of (the two kinds
of) Akshi-piika.
Animal
butter and
flesh
and Saindhava
salt
soaked
in
clarified
mixed with S'uuthi and breast-milk should be applied to the affected organ in the manner of an As'chyotana or as an Anjana. A compound consisting of Jdti flower, Saindliava, S'uuthi, Pippali and huskless
Vidanga pasted together with honey,
used
as
may
in
as
well
be
an
Anjana with
27-28.
advantage
case of
Akshi-pa'ka.
Treatment
of
Puyalasa :Blood-letting
Sneha and Sveda) and
affected
locality arc
(after the app'ication of
poultic-
ing (Upanaha) of the

in the affecticn of the
efficacious
eye,
known
as
Puyalasa.
The
dis-
measures and
of Akshi-paka
cretion
in
remedies which prove curative
in cases
should as well be employed with

case
this
by
physician.
An Anjana
ajpd Kds'isa
(eye-salve)
composed of Ardraka, Saindhava
(Sulphate of iron), or Kds'isa Saindhava, Ardraka,
iron
and copper dust pasted together with honey, should be

applied to the affected eye in the
(in a case
*
manner of an Anjana
of Puyalasa).
in the list.
29-30.
Some add honey
$2
Chap. Xtt.
Treatment of Praklinna-vartma :
The deranged Doshas
soothed
of the
system should be duly*
removed (corrected) and the patient should be duly in a case of Praklinna-vartma, after which
to according
washes, eye-salves, eye-drops (As'chyotana), snuffs (Nasya)
and fumigation (Dhuma) should be resorted

to
A compound the Dosha involved in each case. composed of Musta, Haridrd, Yashti-madhu, Priyangu,
Siddhdrtha,
Rod/ira, Utpala-sdrivd
pasted together
should be employed in the manner of an
As'chyotana
consist-
measure.
ing
As an
3 l ~3 2
alternative,
the
compound
of Rdsdnjana and
-
honey
should be used as an
Anjana.
The
should
decoction of the leaves and fruits of
Amalaka
be duly prepared (in the manner of Rasa-kriya)
and used as an Anjana. Rasa-kriyi preparations prepared with (the expressed juice
or VarttS prepared with the
of) the roots of
bamboo,
it
same by (condensing
by)
cooking
it
(again) in a copper vessel,
should be used for
the above purpose.
Rasa-kriya preparations prepared

of Paldsii, or
with Triphald,
flowers
Khara-manjari,
should be similarly applied to the affected organ.

salves
Eyefibre
-i
made
of powdered
KdmJya-mala
and cotton
(Tantu) burnt together and
pasted with the milk
of a
she-goat and mixed with (white)
Markka and powdered

33 -34.
copper should be used as a Pratyanjana to the eye

(already weakened by the use of Anjana.)
* Dallana says that the
deranged Doshas of the system should be

Venesection, purgative,
errhincs
cleansed with the application of Sneha,
and A'sthapana.
+ In place of 'ttataSreTRITlfir.'
in this case 'Syama-lata'
som -
rca;1 '^ttfrfacTCITfonfa:',
meaning,
by the term
'Asita-sariva'.
Others again
mean
'Rasanjana' by the term 'Asita'.
Dallana.
J Dallana recommends
'rain water' as the liquid for the preparation.
Chap. Xll.
UTTARA-TANTRAM.
5j
An
eye-salve or an
Anjana made of Samudra-phena,
Saindhava, conch-shell,
Mudga and white Markka mixed

it
together (in the shape of a powder) should be prescribed

in
a case of Akltnna-vxrtma as the local itching.
would
promptly
a case
alleviate
The
foregoing measures
in
and remedies should be likewise employed

of Praklinna-vartma
according to the nature of the
deranged Doshas involved therein.

pared with
An Anjana
pre-
the admixture of Kajjala and
Tuthhaka
(Sulphate of copper) rubbed in clarified butter on the

surface
of a copper vessel, would
be similarly used
(in
such
cases).
35-36.
Thus ends
Samhits which
the
twelfth chaptet
of
the Uttara-Tantra in the
Sub'ruta
treats of tha curative
treatment of Raktabhishyanda.
CHAPTER
Now we
shall discourse
XIII.
eye-diseases in
which Scarification should be resorted to

r.
,
(Lekhya-Roga-Pratishedha).
The
general course of treatment to be adopted in the
nine kinds of eye diseases which arc amenable to Scarifying (Lekhana) operations
is
as follows
The patient
to
should be laid
in
chamber not exposed

after
the sun
and the gales of wind,

proper
emulsive
having been treated with
measures (Sneha-karma)*
and sub-
jected to a course of emetics

lid
and purgatives. The eyeshould be over-tumed with the thumb and the index
and should be very carefully fomented with a
finger
piece of linen soaked in
lukewarm water and squeezed.

and
at the
The
eye-lid should be covered with a piece of linen
over-turned with the
time to
(part
thumb and the index finger guard against its movement and enclosing.
eye-lid
The
of the)
to
be scraped, should be wiped
with a linen and marked with a surgical instrument and

the scraping should be effected
knife or
therein with a
scraping
any
(rough) icaf according to the exigencies of

of the. bleeding,
the case.
After the subsidence
the
part should be fomented
and then gently rubbed
(Prati-
sirana) with a medicinal

s'ild
compound
salt
consisting of
MauahAt/jam
finely
(Realgar), K&s'isa (Sulphate of iron), Trikatu,
(black antimony),
Saindhava
and Mdkshika
pounded together.
with
butter.
After this the part should be washed
lukewarm water
and
lubricated
with clarified
be
The subsequent treatment

that
thereof should
*
after
It
should be noted
the patient should also be fomented (Svcda)
being treated with the emulsive measures.
Chap. XIII.
UTTARA-TANTRAM.
55
like that
etc.,
I
of an ulcer (Vrana).*
Fomentations, Avapida,
should also be employed after three days.

to
Thus
to
have described
you the general measures
be
2,
observed in scraping an affected locality in the eye,
Satisfactory and
fication
swelling
:
deficient scariof the

level aspect
Stoppage of bleeding, subsidence

smooth
nail are the
features,
scarification.
and
itching, a
of the
part
like the surface of a finger
which
Redblood
(blind-
mark a proper and satisfactory

ness
of the
eyes,
swelling
and discharge
of
from the operated

ness or darkness
locality, occurrence
of Timira
of vision),
non-ameliorations of the
disease
under treatment, brownncss, heaviness, numb-
ness, itching, horripilation
and coating
(as
if
with foreign
matter) of the eye-lids and a

tion of the eye
if
consequent high inflamma-
not attended to in time, are the symp-
toms which attend an incomplete and unsatisfactory scarification, and this should be remedied by anointing^
and scarifying the affected part again.
charge
3-4.
dis-
Excessive Scarification : Excessive

and
pain
in
the
locality
together with an
upturning of the eye-lids and spontaneous uprooting of

the eye-lashes should be ascribed to excessive scraping.
Fomentation, application of Sneha and employment of Vayu-subduing measures should be resorted to in such
cases.
5.
In the following diseases
of the
eye,
vis.,
Vartma-
vabandha, Klishta-vartma, Bahala-vartma and Pothaki,

the affected part should
* first
be gently scraped and then

treatment should be
like
For the
first
seven days the
that
of an
incidental ulcer (Sadyo-vrana) after
which period, the case should be

(fomenting)
treated, if necessary, as a case of S'arira -Vrana.
t Dallana says that some read '^fi(t^'
in
place
of
'^f^l'
anointing).
$6
scarified.
THE SUSIIRUTA SAMHITA

In Syava-vartrha
[Chap. XIII.
and Kardama-vartma, the

gently
scarify
intelligent
physician will
the affected
cases
part neither deeply nor superficially.

sangini, Sarkara
In
of Ut-
should be
scarified.
first
An
and Kumbhikini, the seat of the disease (with a knife) and then carefully incision should be followed by a scarificacut
tion in the case of small,
coloured,
very hard, supperated, copperPidakas (pustules) occurring on (the inner

of)
Small and slightly swelling Pidakas (pustules) occurring on the exterior surface of the eye-lid should be remedied with fomentations,
the eye-lid.
plasters
membrane
and the general corrective remedies.

thirteenth chapter of the
6.
Thus ends the

Samhita which
to scarification.
Ultara-Tantra in the Sus'ruta
treats of the curative treatment of (eye-} diseases
amenable
CHAPTER
Now we
eye-diseases
shall discourse
XIV.
which require surgical incisions

t.
(Bhedya->
a case
Roga-Pratishedha). Treatment of Visa-granthi : in

of suppurating Visa-grauthi,
it
should be
first
fomented,
and
(so
its
puncture-like holes should be
completely incised
It
as to
remove any swelling
in the affected part).
should then be dusted with Saindhava, Kds'is'a, Mdgadhi,
Pushpdnjana, Manah-s'ild and Eld pounded together*.
Honey and
(for
clarified butter
it
should then be applied (over
the dusted part), and
should be duly (loosely) bandaged

2.
the complete union of the parts).
Lagan a
the affected
following
An
in
viz.,
incision
should
be
made
into
part
a case of
Lagana, and any
of the
drugs,
Rochand,
Yava-kshdra, Tuttha,
incised
Pippali and
part
;
honey should be applied to the

cases
while in serious (lit. big)

fire will
cauterization
3.
with alkali or with
be the remedy.
Anjana
open,
it
: In
a case of Anjana, the affected part

if it
should be duly fomented and
spontaneously bursts
should be well pressed and
rubbed (Fratisarana)
Tagara-
with a plaster-compound of Manah-s'ild, Eld,
pddukd and Saindhava,

If,
pasted
together with honey.
however, the surgeon wants to
open
it,
it
should be
rubbed with honey and Rasdnjana mixed together and
* Both Vrinda and Chakradatta read

text and hold that the incision should
only the
first
two
lines of the
ba dusted
with Saindhava only,
Their commentators, however,
accept
the reading there to be Sus'ruta's.
They supply the next

alteration in the sense.
two
lines
of Sns'ruta, and notice the consequent
58
THE SUSIIRUTA SAMHITX.

a
[Chap. XIV.
then coated with
warm
collyrium
made with
4.
the
lamp-black collected from a burning lamp flame.
Krlmi-granthl : In a case
been incised and
it
of Krimi-granthi,
it
the affected part should be duly fomented after
has
should
then be treated with the

(the
Rasa-kriya solution
prepared with
of)
decoction
of)
Triphald (with the addition
Tuttha**, Kd-sisa
(in
and
part
Saindhava.
In a case of
Upanata
the
eye) due to
affected
Kapha, the
It
should be opened and rubbed with powdered Pippali and
Saindhava mixed with honey.

with a Mandalagra instrument.
should then be scraped
The surrounding
all
parts
should also be gently scratched

In the foregoing five
until the
around.
5.
cases
of incisable eye-disease,
setting
first
in of
suppuration therein, the affected
eye should
light
be treated with Sneha and then with

of)
fomentation with (the help

In
all
tender leaves (as
a cover over the eye).

in the
the remedies to be adopted
treatment of these (incisable eye) diseases, the

of a
application
cases,
Sneha should be
first
adopted.
set
In
in,
however, where suppuration
had already
ulcer,
the remedies for the healing up of the

carefully adopted.
6.
should
be
Thus ends
the fourteenth chapter of the
Uttara-Tantra of the Sus'ruta
Saruhitd which deals with the curative treatment of (eye-) diseases requiring
incisions.
*
'
Both Vrinda and Chalcrapani read 'Mulra' (cow's urine)
in place
of
in
Tuttha'.
Both of them also recommend the addition of Rasdnjana
the compound.
CHAPTER XV.
Now we
cyc-diseases,
shall discourse

be
cured with
excisions
i.
which should
(Chhedya-Roga-Pratishedha).
be
first
Treatment of Armas : The patient should

treated
with
Sneha-predominating
food
before being surgically operated upon in a case of
Arman
(on the
care-
marked by the manifest vegetation or polypus

affected
eye).
The
ease
patient
should then be
made
fully to sit at
and the affected eye should then

Saind/iava-s&h into
be irritated by casting powdered

its
cavity
after
which the
eye-ball, without
any
loss of
time, should be duly fomented
and rubbed with the hand.

the
patient
to
The
intelligent physician
will then ask
look at his
Apanga
th;
(the interior corner of his
own
affect-
ed eye) and
cyst
or the polypus (thus turned up),
should be carefully secured

held with
needle.
It
with a hook (Vadis'a) and

or with
a
is
Muchundi instrument
a thread-
dangerous to suddenly
uplift the eye-lid
under the circumstances.

firmly
The two
eye-lids should be
drawn asunder so as
the
to guard against their being
anywise hurt during

thus
three
operation.
The
polypus,
made
flabby
and pendent with the means of the

be fully got
rid of
aforesaid
it
accessories, should
by scraping
with a sharp Mandalagra
instrument.
The root of the polypus should be pushed asunder from the Krishna-mandala (Sclerotic region) and the Sukla-mandala (region of the cornea), to the extremity
of the
Kaninaka
(pupil)
and then
repioved.
The
Kaninaka
to
(pupil) should
be duly guarded so as not
be
hurt.
A
left
quarter layer of the flesh (of the polypus)
should be
in
back and then the operation would not

or
injure the
eye.
any way hurt
An
operation at
60

the
aforesaid limit of the
Chap.
XV.
a point beyond
Kaninaka
(might hurt the pupil and) would set
up a haemorrhage
in
and beget a sinus
(as
well
is
as
pain)
the locality.
to
The
its
"
vegetation or polypus
if it is
sure to
grow up again
2.
former size
cut off insufficiently.
A shreddy
or netted
Arman
in the
form of a membe
branous growth (Jala)

dent by rubbing
it
in the
eye should
made
pen-
(with Saind/iava-szh) and then cut
with a bent Vadisa instrument at the junction of the
Sukla-mandala (cornea) and the Vartma-mandala (conjunctiva or eye-lid).
The
affected part should then be
rubbed with a compound

Trikatu and
Saind/iava-salt
consisting of
Yava-kshdra,
(pounded
together)
and
then (duly) fomented and bandaged up by the skilful

physician.
Lardaceous
or
oily
(Sneha)
application
should thereafter be nature

of the
prescribed with due regard to the

season,
place*, the
the time
(day or
night) and the strength of the patient,
and the incidental wound should be treated as an ulcer. The bandage

should be removed after three days and the affected part should be (mildly) fomented
with the
treated
application of
heated palms of the hands and

or purifying remedies.
3.
with corrective
Milk duly cooked with Karanja

Yashti-madhu
seed,
Amalaka and
(when
cold),
and
mixed
the
with
honey
should be dropped twice a day (morning and evening)

into the affected eye in
event
of there being
any
pain in
it.
cold
plaster
composed of Yashti-madhu,
clarified
polens of lotus (Utpald) and Durvd-gra.ss pasted together
with milk and mixed with
butter
is
recom4.
mended
'
in
such cases to be applied to the scalp.
In place of <^jj'_-the particular part and nature of the country,

read '^^'
som
th.>
particular Dj'iha involved in each case.
Chap. XV.
UTTARA-TANTKAM.
residue of the
Ol
Any
should
(scraping)
Arman,
left after
the excision,
be removed with the application of Lekhya*
Anjana or
eye-salve.
An Arman
as white
(Cyst-like
papilla or protruberance)
which
of
is
as
curdled
milk (Dadhi), or which looks blood-red or blue or grey,

should be treated like a case the cornea or a flimy and fleshy
Sukrarman (Opacity of growth in the eye). An

and nerves
as
Arqpan which
well
is
very thick and looks like a piece of skin

fibres
and covered over with

as one occurring
iris)
of flesh
f,
of the
should be excisioned.
on the Krishna-mandala (region The eye assimes its
former and natural colour and function, and becomes

free
from pain and other complications by the proper
excision of an
Arman.
5-8.
Treatment
pidaka
:
of Sira-Jala
and Sira(Vadis'a)
In a case of Sir^-Jfida, the hardened veins
(Sira) should be
hung down with a hook
and
scraped with a Mandalagra (round-topped) instrument. Cysts or pimples (Pidakas) appearing on the diseased
veins in a case of the aforesaid Sira-Jala
and not prov-
ing
amenable
to
in
the
application of medicines, should
be excisioned as
instrument.
a case of
Arma
with a Mandalagra
Pratisarana (rubbing) as in a case of
Arma
and Lekhana (scraping) with due regard to the nature of the deranged Doshas involved in each case, are also
recommendad
in
both the
diseases
9.
(Sira-Jala
and
Sjra-Pidaka) under discussion.
Treatment of Parvanika' : In
Parvaniki the
place of junction
\
a case of
(of
the lachrymal
For Lekhya Anjana see Chapter XII, f ara 16 of lhis Uttara Tantra. Some here read 'f%n' (veins) in place of 'qjf' t The 'junction' is the junction of the Krishna-mandala and the
*
|
S'ukla-inandala of the eye.
Dallana.
62
sac and
THE SUSLIRUTA SAMIUTA.

the cornea)
Cha P'
XV
should
be
duly
fomented.
quarter part only of the protuberance or growth should
be kept apart, while the remaining upper three quarters

should be secured with a
hook and cut with a
knife.
away
of
Half of the aforesaid quarter part should then be cut (very carefully), as lachrymal sinus (and consein.
quent lachrymation) would otherwise set

operation
The
seat
should
be
subsequently rubbed
of
(Prati-
sarana) with a
compound
honey and Saindhava-saXi.

should
then
Scarifying (Lckhana) powders

to
be applied
the affected
part for the

still
complete recovery of the

10.
disease (any complaint
remaining).
Chuma-Anjana : Powders
ruby,
iron,
of
S'amkha
(conch-shell), Sa>nudra-phena, marine oyster-shell, crystal,

coral,
As'mantaka, Vaidurya (Lapis
lazuli), pearl,
copper and Srotonjana (antimony) taken in equal
parts
and mixed together, should be

let
stuffed in
a ram's
horn* and then
the intelligent one apply this Churnalocality,
anjana (powder) to the affected

efficacious in all
morning and
Sira-jala,
evening everyday, as such applications are extremely

types of Armans,
etc.,
Pidakas,
Arsas, Sushkars'as and Arvuda,
in the eye.
n.
affec-
Treatment of inner part

lids
below.
:
of the eyeany
is
The
The
mode
of treatment in a case of of the
tion in the inner lining
Vartma
(eye-lid)
given
affected part should be
first
fomented and
then the eye-lid should
be over-turned (held at an angle),
and the diseased growth or swelling should be carefully

lifted
up with a needle, when an experienced physician

it
should cut
at
its
root or base with the help of a sharp
Mandalagra instrument.
should be rubbed with a
After that the affected part

pulverised
compound
tree.
consist-
Dallana explains 'Aftikis'riuga' as a kind of InguJi
Chap.
XV,
UTTARA-TANTRAM.
63
ing of Saindhava, Kdsisa (Sulphate of iron) and Pippali.
The
affected eye-lid should then be
carefully cauterised
with a (red-hot) rod after a (complete) cessation of the

bleeding.
The
residue of
its
root or base,
if
any, should
be
scarified
with a scarifying alkaline (caustic) prepara-
tion.
Decoctions of strong emetic and purgative drugs*

elimination
should be (internally) administered for the

of the Doshas (from the
Vrana
in
ulcer).
The measures
with
and remedies mentioned
connection
Abhi-
shyanda (Ophthalmia) should also be prescribed with regard to the nature of the bodily Uoshas involved in
the case.
diet
tion.
The
patient shall
for a
observe
after
strict
regimen
ot
and conduct
12.
month
the
surgical
opera-
Thus ends
the fifteenth chapter

treats of the
in
the Ultara-Tantra
of the
Sus'ruta
Samhita which
remedies of eye-diseases requiring excisions or
surgical operation.
Some commentators
say that emetics and purgatives should
be inter-
nally administered, but Dallana and the Panjikakara oppose this view.
CHAPTER
Now we
shall discourse
XVI.
for
on the curative measures
the remedy of diseases occurring on the cye-lashes and
hence on the eye-lid
(Pakshma-kopa Pratla case
shedha). i. Surgical
Treatment : in
is
of
Pakshma-kopa which
an affection of the eye-lid and
which has been described before as admitting only of palliative treatment, the patient should be first treated
with a Sneha and
position).
made
the
to take
his
seat
(in
proper
cut in the shape

in
and
size of
a barley corn
should be
(the
made
eye-lid
horizontally parallel to
part
of the eye-ball lying between) the
Kaninaka
(pupil)
and the Apanga (exterior corner of the eye)
leaving
two parts below the eye-brow and one part

incisions
above the cye-lashcs. The surgeon should then diligently

suture up the two edges of the
hair.
with (horse's)
After the application of honey and clarified butter

it
to the operated part,
should be treated in the
manner
of an (incidental) ulcer.
piece of linen should be tied
round the forehead and the horse's hair sewing up the operated part should be attached thereto. The stitching
'hair should
be carefully removed
after
the
complete
2.
adhesion* of the two edges of the incidental
ulcer.
Cauterisation : In
mined and
with
fire
case of the failure of the
preceding measure, the eye-lid should be carefully exalifted
up
in
an inverted posture and the

alternative,
diseased cyst (Bali) should be very carefully cauterised

or
alkali.
As an
the
Pakshma-
*
fifth
According
day.
to
Vagbhata, the stitching hair should be removed on the
'
Chap. XVI.
UTTARA-TANTRAM,
removed and the
65
affected
maid
(eye-lashes} -should be all
eye-lid
(Vadis'a) should
having been carefully secured with three hooks" be rubbed with pasted Haritaki and
Tuvaraka (Lodhra).
well as purgatives,
snuffs,
The
four
aforesaid
measures* as
Collyrium,
held
as
eye-drops (As'chyotana), medicinal

(fumigations),
Plasters,
inhalations
Sneha and
Rasa-kriya,
should
be
likewise
3-5.
beneficial -!" i n cases of
Pakshma-kopa.
Thus ends
the sixteenth chapter of the

treats of the
Uttata-Tantra in the Sub'ruta
Samhitd which
remedies of Pakshma-kopa.
*
(c)
The
It
four
measures are
(fl)
operation, (t) cauterisation with application of medicinal drugs.
fire,
cauterisation with alkali, and
(rf)
should be noted that this disease cannot be radically cured,

(?|H?r).
but
is
amenable only to palliative treatments
CHAPTER
Now we
shall
XVII.
discourse
on the curative treatment
of the diseases
of the
pupil
and the Crystalline lens

i.
(Drishtl-gata-Roga-Pratishedha).
Of "the
diseases
included
within the present group,
three are curable, three arc incurable, while the
remaincura-
ing six admit only of palliative

tive
treatment.
The
remedies of the disease

vision)
(smoky or dusky
(in
known as Dhuma-d&rs'i has been already described
connection with the medical treatment of Pittaja

*.
Ophthalmia)
of deranged
All
the
remedies applicable in cases
Nasya
and Kapha as well as application of Seka (sprinkling), Anjana (Collyrium), A'lepa (plaster), Puta-paka and Tarpana (soothing)
Pitta
(snuff),
remedies with the exception of surgical operation should
be respectively administered
vision.
in
cases
of Pitta-affected
(Pitta-vidagdha) and Kapha-affected (Slcshma-vidagdha)
Traiphala-Ghrita should be prescribed in a case
of Fitta-vidagdha-Drishti
and Traivrita-Ghrita
in
case of Sleshma-vidagdha-Drishti.
Potions of old and
matured
are
clarified
butter as well as of Tailvaka-Ghrita
equally efficacious in
both
cases
-f\
Collyriums
(Anjanas) should be prepared with Gairika, Saindhava,

Pippali,
and the charred remains (Masi) of cow's

Kapitth.%
fruit
teeth,
or with beef, Maricha, S'irts/ia-sceds and or with the stalk of a
Mana/i-s'i/d,
together with
;
honey, or with Atmaguptd pasted with honey
these four
* See
Chapter X,
9,
Uttara-Tantra.
Traivrita-Ghrita
t Traiphala-Ghrita,
of Tilvaka respectively.
and
Tailvaka-Ghriti should
be prepared with both the decoction and Kalka of TriphaU, Trivritu and
Chap. XVII.
UTTARA-f ANTRAM.
be used with advantage
2-3.
67
in
Anj anas may
both the types
under discussion.
Kubjaka,
PUBhpa'nJana Z Powders
As oka, S dla, Amra,
Utpala, as well as powdered
of
the flowers of
Priyangu, Nalini and of
Renukd, Pippali, Haritaki

clarified
and Amlaki mixed with honey and

should be kept inside a hollow
to
butter,
bamboo and
applied
in
the
eye in the manner of a collyrium (Anjana)

of
cases
Pitta-vidagdha
4.
and Sleshma-vidagdha eye-
diseases.
Dravanjana and GudikaViJana : As

an alternative, Renukd pasted with the expressed
of the flowers of
juice
Amra (mangoc) and Jambu

clarified
(black-berry)
and mixed with honey and
butter, should
be
used in both the above cases as an Anjana.
Pollens of
Nalini (red lotus) and of Utpala (blue lotus) as well as

Gairika * pasted together with the
tions) of
Rasa (watery
pills
secre-
cow-dung f and made into large

of day-blindness
is
(Gudika)
may
in
be profitably applied to the eye as an Anjana alike
cases
and
night-blindness.
5.
This
Anjana
jana,
called the Gudikanjana.
Treatment of Day-blindness
Rasa
(Juice)
J,
:Rasdn-
honey,
Talis' a-patra
and Svarna-
gairika should be pasted together with the Rasa of
cow-dung and applied

cases of
Pitta-affected
(in
the
manner of an Anjana)
i)e.
in-
vision
day-blindness.
S'ita
Chakradatta does not read 'Gairika' in the

place
of "ifjuji^"
or
list.
'.<r.,
tin
some read "jj^jj"
the
liver
etc.
ofa' 1 ^"
juice
which may mean a cow
any animal, such as goat, sheep,

:
J According to Dallana, Rasa (lit A'mahka. According to others, however,

of Jiti flower.
Juice)
means
means the
of
it
the juice of the leave's

in
Chakradatta, however, reads "gj|" (clarified butter)
place
of "tq".
68
(Rasanjana,

or
Chap.
XVIt
according
to
in
Sauvira should be
then pasted together.
in the bile
soaked
It
some Camphor), and Rasa (meat-juice) * and

Rohita
fish
should then be soaked ag&in
of a tortoise or of a
to powder.
and dried
is
and reduced
The
present
compound
called
the Churna-anjatta (powdered Collyrium) and
may
be
of
used beneficially for the pacification of Pitta

Pitta-vidagdha-Drishti).
(in cases
Kds'mari
flowers,
Yas/itt-tnadliu,
Ddrvi, Rodhra
together and
and
Rasdnjana,
should
be
pounded
it is
mixed with honey. Used
as an
Anjana
6-8.
always efficacious
in the affections of the eye.
Treatment of nocturnal blindness
The
application of a medicinal Varti (stick) composed
of Sauvirdnjana, Saindhava, Pippali and Renukd pasted

together
with
the
urine
of a
she-goat would
prove
highly beneficial
in cases of
nocturnal blindness. Simi-
larly the application of a
medicinal Varti (stick) comkinds of Haridrd, and Musta,

of
posed of Kdldnu-Sdrivd, Pippali, S'untki, Yashti-madhu,

Tdlis'a-patra,
the two the
pasted
with
Rasa
cow-dung f
in
and
dried
in the shade, proves

s'ild,
beneficial
such cases.
Manah-
Haritaki, Trikatu, Bald, Kalanu-sdriva and (S'atnu-
dra-) Pfiena pasted together
with the milk of a she-goat

the shape of a Varti
is
and similarly prepared
in
also
recommended.
9-1
1.
Rasa-Kriya'njana :The
urine,
bile
and
the
dung of a cow \ together with wine, should be (in the manner of Rasa-kriyanjana preparation)
*
boiled
in
Rasa may
also,
from the context,
mean
the
watery secretions of
cow-dung.
t
Dallana's reading
is
evidently
'^719^:9'
which he explains
as
meaning the juice or serum of the
liveT of a goat, &c.
The
text
has
"%*fTm"
for
The term
"aft"
which
literally
means
a cow, here stands
any female quadruped, such as a she-goat,
etc.
Chap. XVII.
UTTAUA-TANTRAM.
69
expressed juice of Dhdtri, or in the Rasa (serum) of the

liver of
an animal
(e.g.
a goat), or in the decoction of

the Kshudrinjana, and
in
Triphald.
It is called
should
of an
be applied to the affected organ
the
manner
Anjana
(collyrium).
An Anjana
consisting
of cow's
urine, clarified butter, Samudra-p/iena, Pippali, Katphala,
Saindhava and honey mixed together should be

kept inside a hollow
(in
first
night-blindness)
bamboo and subsequently applied as a collyrium. The Medas (fat)

with a quantity of
clarified
and
liver of a goat, together
butter
skimmed out
of the
milk of a she-goat, mixed
with Pippali and Saind/iava should be boiled and cooked with the (expressed)
juice
of
Amalaka
It
(in
the
manner of Rasa-kriya preparations). mixed with honey and kept in a

of
should then be
vessel
closed
made
Khadira (Catechu)
wood.
The
use of this (comas an
pound),
known
as
the Kshudranjana,
Anjana
(collyrium) would
good results. Harenu, Ptppali-sceds (without pericarps), Eld and the

be
attended
with
liver (of a goat, etc.)
should be pasted with the Rasa of

it
cow-dung. Used as an Anjana,

in
would prove
efficacious
a case of Kapha-affccted vision (Slcshma-Vidagdha12-14.
Drishti).
The
in
fire
liver of a
Godha(a kind of wild
lizard) should
be
partially
opened and stuffed with Pippali and roasted
(having been coated with clay ). The use of the compound * for only once -f" as an Anjana (with honey)
According
to
Dallana the Pippali so toasted should be used with
honey as an Anjana.
t Both Vrinda
and Chakradatta read
'ngia' in place of '^jgra'
and the
commentators of both of them say that the sentence means

should
the livet
as an
is to
be
taken internally
and the Pippali
should be used
Anjana.
The commentator
them together
of Vrinda further says that the practice
use both of
as an Anjana.
;o
Chap. XVII.
would be found to be
night-blindness.
highly beneficial in cases of

single
Similarly a
goat's
application
of
an
Anjana made of a
and roasted
in
liver
in
stuffed
with Pippali *
fire
as
the preceding case would
speedily and certainly cure an attack of night-blindness.
As an
oil
alternative, both the spleen
and
the liver (of a
goat or of a lizard) would be cut into pieces, mixed with
and
clarified
butter,
and roasted on a
spit.
Used
oil,
it
internally or used
as
an Anjana with mustard
would speedily cure an attack of night-blindness. 15-17. An Anjana or a pill composed of Nadija (Saindhava),
S'imbi (D. R.
Samkha
conch-shell),
Kataka, Anjana
(Rasanjana), Manah-s'ild, the two kinds of Nis'd, pasted
together with the juice of the liver
(of a
cow) and
in
mixed with red-sandal paste

case of day-blindness.
18.
is
recommended
Treatment
to in the six
palliative
of
palliative types :
Bleeding by opening the (local) veins should be resorted

kinds of ocular affections in which the
is
treatment
all
that
is
open
to
us.
The
with
patient should be as well kept constantly purged
draughts of matured clarified butter duly cooked with

the admixture of suitable purgative drugs.
In a Vataja
Both Vagbhata and Dallana plainly say thai the roasted
Pippali
only should be used with honey as an Anjana in cases of night-blindness.
t
of
There
is
confusion pasted
in
the reading
of this couplet.
liver
In place
or
liver
"H3f5%'
i-e-
with
the juice
of the
i.e.
(of a
cow
any
of
other animal), Chakradatta reads "l[q\ Vffl('
to
say
the
cow (and of no
other
animal) should be
taken.
Vrinda, however,
reads and his commentator accepts the reading "^jf^f *!|m''
(*e
5>
of an animal other than a cow)
but this reading

"Jtff5%''
i.
is
objectionable on the
in
ground of a
faulty
construction.
is
e.
pasted
the watery the
secretions of cow-dung,
yet another
variant
noticed by both
commentators of Vrinda and of Chakradatta.
Chap.
XVII
UTTARA-TANTRAM.
7
lie
type (of any of these six affections) purging should
induced with castor

milk.
oil
taken through the vehicle of

of
Administration
for
Traiphala-Ghrita
purposes,
types.
is
also
in
re:ommended
the Pittaja
fied
purgative
especially
blood-origined
Purging with
(clari-
butter duly
cooked with) Trivrit should be induced

in
in types
having their origin

duly cooked with
the deranged
Kapha,
while
oil
Trivrit should
be adminis-
tered (for the purpose) in cases of affections having their

origin in the concerted action of all the
three deranged
Doshas.
The
use
in
any shape of old and matured

in
clarified butter,
in cases of
kept
an iron
vessel,
proves beneficial
with (the
s'ritigi
Timira of any type. Clarified butter cooked Kalka and decoction) of Triphald or Meshain
always proves efficacious

be
Timira of any type.

a
The
patient should
made
to
lick
compound
of
powdered Triphald with a copious quantity of

butter in cases of Pittaja blindness, with
type,
oil in
clarified
the Vataja
in the
and
with
copious quantity of
disease (Timira
honey
Kaphaja
type, of this
19-21.
loss
or darkness
of vision).
The
use as
Navana
(errhine)
of a
medicated
oil
cooked and prepared with the decoction of cow-dung
would be attended with

of Timira.
Clarified
;
beneficial
results
is
in
all
types
in
butter * alone
clarified
beneficial
the Pittaja type
similarly
of a
butter
prepared
by churning the milk

(Kakolyadi)
Pittaja type
ewe or a she-goat
prove
beneficial
in
and
the
cooked with the admixture of the drugs of the Madkura
group
would
of Timira.
Oil cooked
with the drugs
of
the
Sthirddi
(Vidari-gandhadi) or the
Madhura
Some
say that this clarified butter
is
to
be prepared
from the milk
of a ewe or she-goat
72
'

well
Chap. XVII.
group * as
advantage
as
the
Anu-taila
(see
Chapter V,
Chikitsita Sthana),
in
might be prescribed with the greatest
the types of the disease due respectively to

system.
Vayu and
vitiated blood of the
medicated
oil
duly cooked with an admixture
of Sahd, As'va-gandhd, Ati-vald, S'atdvari, Trivrit
and
the three fatty
substances,
(in
Ghrita, lard
and marrow,
Sthana)
in
mentioned before
connection with the treatment of
Maha-Vata-Vyadhi,
cases
Chapter
VI,
Chikitsita
might be advantageously employed as an errhine

of Vataja
Timira.
Butter
flesh
churned out
of
of the
milk duly cooked with the

marsh-frequenting
as
an errhine
it
any aquatic or fowl or beast should be employed would prove curative in cases of
22-23.
Vataja Timira
(loss of vision).
The
species,
flesh
of a
vulture and of a
salt,
deer of the
Ena
Saindkava
honey and
clarified butter
should
be prepared and applied (to the affected eye) in the
manner
of Puta-ptfka (see next
Chapter).
The
lard of
vultures, snakes
and cocks and Yashti-madhu should be

(eye-salve)-f.
pasted together (with honey) and applied (to the affected
organ)
in
the
manner of an Anjana
I
Antidotes
soaked
*
last
Srotonjana
\
24.
should be successively
clarified butter
'Similarly'
in
in
part
meat-juice,
of the text
milk and
in
the
Ths
within the two *s from

is
page
to 'group' in this
page
not
to
be found in either Vrinda or

moreover, does clearly
Chakradatta.
The commentator
is
of Chakradatta,
say that this part
an interpolation and cannot be found in some of the
Mss. of Sus'ruta Samhita.

t According
to
Dallana
the
lards
of vultures,
either one,
snakes
and cocks
the
three
Yashti-
may be
madhu,
jointly or separately used
taken
two or
all
at a time.
It
But in
all
cases they should be
should be noted that the lard of a Krishna-Sarpa (venomous
serpent) should be used.
J Flesh of those animals which give strength

used in lhe preparation of meat-juice.
to the
si^ht
should be
Chap. XVII.
UTTARA-TANTRAM.
73
the manner of Bhavana saturation and used as a Pratyanjana * (in cases of Vataja Timira unattended with redness). In cases of Vataja Timira attended with red-
ness of the eye, however, the Srotonjana should be placed

inside the blades
of Kus'a grass and
preserved for a
month
it
inside the
mouth
should be taken out and
and the burnt ashes of

then be applied as
cobra. Then mixed with Saindhava salt Malati (Jati) flowers. It should
of a (dead) black
an Anjana to the affected organ. be soaked

in
As an
disease
is
alternative, Srotonjana should
milk
for three successive

in
days and applied to the seat of the a case of (Vataja) Ksfoha (cataract) which
this
said
by experts to be remediable by
Anjana.
25.
Treatment
fied
of Pittaja-Ka'cha :Clari-
skimmed from milk (and not from curd) and duly cooked with the drugs of the Madhura (Kakobutter
lyadi)
or as a
group f should be employed as a snuff ,(Nasya), Tarpana in the Fittaja type of this disease.
Jangala animals (deer,
etc.)
The
flesh of
and the drugs
of the Kdkolyddi group should be
used in the manner
of Pata-prfka in the Pittaja type of Kacha.
A KshudranThe
use
jana composed of Rasdnjana, sugar, honey Manah-s'ild,
and Yashti-madhu
of an
may
likewise be
applied.
Anjana
in
taken
composed of Rasdnjana and Tutthaka equal parts and finely pounded, is also recom\
mended by experts
soaked
in
in
such cases.
Powdered Tutthaka
the drugs of
the
decoction of Bhillota and
Pratyanjana (secondary eye-salve)
is
an antidote
for
the over-use
of an Anjana.
t According
to
some
commentators
the
milk
should
be
first
cooked with the drugs of the Madhura group, and butter should then be
churned out of that milk.
benumbed condition
of
the
as
eye through the
abuse
of
eye-
salves calls for the use of this
Anjana
an antidote.
IO
74
Chap. XVII.
the Elddi-gana would
be used as a Pratyanjana, and

in
would be found beneficial
such cases.
The
use (as an
Anjana) of MesJia-s' ringi and Stotonjana taken in equal parts and two parts of conch-shell pounded together is
efficacious in the
Pittaja
type of this disease (Kacha).
The
juice of Palds'a,
Rohita and
Madhuka
(flower)
mixed with honey and the

in equal parts)
surface layer of wine

(in
(taken
should be prepared
the
manner of Rasa26-27.
kriya and applied as an eye-salve in this type).
Treatment of Kaphaja Type :The

drugs
known
cooked
for
as Ui'ira, Rodhra, Triphald
and Priyangu
should
duly
together (with
Tila
of
oil)
be
in
employed
the purposes
snuffing (Nasya)
the Kaphaja
Type.
prove
Fumigation (Dhumana) with the

Kinihi
in
vapours of
Vidanga, Pdthd,
beneficial
would
also
the
and Ingudt-bark Kaphaja type

should
of cataract (Timira).
likewise lubricated
The
affected
part
be
with
the
medicated
of
Ghrita duly
cooked with exuding

holy
fig)
the decoction
e. g.,
Vanaspati (the milkspecies
trees,
those
of the
of
Indian
Kalka).
animals,
with pasted
of the
The
essence
Haridrd and meat of Jangala
Us'ira (as
(forest)
mixed
with
Pippali
and profusely
should
be
saturated
with
the
Saindltava and
honey,
prepared
in
manner
of Puta-pdka (and applied
to the affected
part).
Manah-s'ila,,
Trikatu,
Saindhava, Mdkshika
(honey),
S'amkha, Kdsisa and Rasdnjana should be combinedly

used for the purposes of Rasa-kriyd
discussion).
(in
the type under
Kdsisa, Rasdnjana,
Guda
(old
and maturused with
ed treacle) and
benefit.
28.
Ndgara,
may
be likewise
Treatment of Trl-doshaja Ka'cha :

Anjana (Antimony) many times heated and (subsequently)
soaked
in the
decoction of Triphald prepared with
(the
Chap. XVII.]
UTTARA-TANTRAM.
fo
9i*ght
kinds of) urine, should a
be put inside the hollow

bird (such
(marrowless) bone of
vulture,
etc.)
nocturnal
as
the
and kept
unruffled (currcntlcss) water.
immersed for a month in The Anjana thus prepared

combination
flowers
may
be used with
advantage, in
the
with
Madhuka (Yashti-madhu) and

s'ringi in the
of Mesha-
Tri-doshaja types of Xtfcha.
As an
alter-
native, all
the measures
etc.)
and remedies
in
all
(e. g.,
Tarpana,
Puta-paka,
applicable
the three
Doshas
should be employed in such cases.
29.
Treatment of blood origlned ParimlsCyi

ployed
in
I
Measures and
the
remedies mentioned in conbe emIn the

for
nection with the Pittaja type of Timira should
a case of blood-origincd
Parimlrfyi.
alternative,
remedial
agents prescribed
the
treatment of the different kinds of Ophthalmia (Abhi-
shyanda) should be as well prescribed according to the

nature of the deranged Doshas involved in the case.
In case the deranged
Dos-has
arc not
thereby subdued,
Nasyas of the proper drug, as well as the many other Anjanas (collyrium) mentioned in the (next) Chapter on
Kriya-kalpa should be employed.
30.
Diet
matured
from
A person
carefully partaking
of old
and
clarified
butter,
Triphald,
S'atdvari, Patola,
Mudga, Amalaka, Yava

all
(barley) as diet enjoys
immunity
attacks of the
dreadful
Timira.
Simply the
'
Pdyasa f prepared with S'atdvari, or with Amalaka or a meal of barley corns cooked with the decoction
*
in
According .to
some,
the measures
and remedies
to
be applied
of
such cases are the measures of Rasa-kriya' applicable in cases
Vateja, Pittaja and Kaphaja Timira.
The PatyaBa
of S'ata'vari
and A'malaki should be prepared
by
duly cooking S'ata'vari or A'malaki, as the case

sugar.
may
be,
with milk and
According to others, however,
it
means the gruel (Yavagu) prepared
with the expressed juice of S'ata'vari or A'malaki.
;6
of Triphald

and a copious quantity of
of)
Chap.
XVIL
clarified butter
would remove (an attack

Chilli,
etc.)
Timira.
The
use of such
edibles as Jivanti, Sunishannaka, Tanduliyaka,
Vdstuka,
Mulaka
as well as
meat of
birds (such as Lava,
and Jangala animals

to
(e g. deer, etc.)
should be conuse of
sidered as invigorating
eye-sight.
The
the
leaves or fruit (as the case
may
be) of Patola, Karkotaka,

(tender
Kdravella,
Vdrtdku,
Tarkdri, Karita
bamboo
plants), S'igru or
Artagala, cooked with clarified butter,
proves beneficial (invigoratiog) to the sight. 31.

Blood-letting (venesection)
to in
should never be resorted
a case of Timira,
affected
eye in as
marked by the redness of the much as it might bring about an

in blindness
aggravation of the deranged Doshas ending

of the patient. 32.
Prognosis : A
first
is
case of
Timira marked by the

the seat of the disease,
absence of any redness of the eye and in which the

Patala (coat) of the organ
is
curable (Sidhya).
The case
in
which the eye assumes

coat
or Patala of the
a bright red hue and the second
organ
is
the seat of the
disease,
may
be regarded as a
curable one though
only with the greaterst difficulty
(Krichchhra-Sa'dhya).
or Patala of the organ
terised
The
is
case in which the third coat
the seat of the disease (characits
by the redness
of
outer
coat)
should
be
re-
garded as (an incurable affection) admitting only of

palliative treatment (Yipya).
Proper palliative measures

in
and remedies mentioned before should be employed

cases of
organ),
Timira marked by a redness (of the affected and leeches may also be applied to the region
it
of the affection (to relieve
of
its
exuberance of the
Dosha
in cases of
emergency).
33.
Surgical
Linga-na's'a
treatment
of
Kaphaja
the (surgi-
Now
we
shall describe
Chap. XVII.]
UTTARA-TANTRAM.
7?
cal)
measures to be employed for curing a case of Linga(obstruction
nrfs'a
or
choking up at the pupil with a

In
i.e.,
cataract)
due to the action of the deranged Kapha.

the deranged
cases
where
Dosha
in
the
organ,
the
affected
part of the organ does not appear semiin
circular or
thin
the middle, nor, fixed, (hard) nor
irregular (in shape),
nor marked by a large number of
lines or a variety of tints, or
where
it
docs not resemble

if it
a pearl
or
drop of water
in shape, or
does not
become
be
first
painful
and red coloured, the patient should treated with Sneha and Sveda at a season
is
of the year which

for the
neither too
cold
etc.,
nor
too
hot
purpose.
Then the hands,
of the patient
should be secured with proper fastenings and he should
be
made
to
sit,
looking simultaneously (with his two

of)
eyes) at (the
tip
his
nose.
Then
the
intelligent
surgeon leaving
the eye-ball from
off
two portions of the white part of

fully
the end
the eye) and
having
his
of the Apanga (the end of and carefully drawn apart

the
the eye-lids with
thumb and
insert the
index and the
middle
fingers,
should
Yava-vaktra (needle)
angles
of the
instrument* through the sides of the natural apperturelike
point
near
the
external
eye,
neither above nor below, care being taken not to pierce
the veins.
right hand,
The
left
eye should be pierced with the

left.
and the right with the

operation
characteristic
The
satisfactory
nature of the
(perforation) should
be pre-
sumed from the
report or sound
and the
region,
emission of a drop of water
f from
the affected
>,
following upon the perforation.

*
3^-35.
Both S'rikantha Dalta
and
S'ivadasa, the commentators respect'sjHffqfjrr JfTOJrsfr'
ively of
Vrinda and Chakradatla, read
meaning
that the
S'alaka (rod) should be
made of copper. Blood would come out if the perforation be not
satisfactorily done.
78
THE
,IRUTA SAMHITA.
perforation
flhap.
XVll.
Instantly with the
the affected organ
should be sprinkled over with breast-milk.

should be retained in
its
The Salaka
growth
place and the diseased
or appearance (cataract), whether fixed or mobile, should
be duly fomented from the outside with the help of the

tender leaves of Vayu-subduing efficacy, and the region
of the Drishti-mandala should be
subsequently scraped
with the (pointed) end of
Salaka.
The mucus
it
or
phlegm (Kapha) accumulated
in the affected
eye should
off
be removad by asking the patient to snuff
by
closing the nostril on the other side oi the operated eyeball.
The
it
part should be regarded
as properly
scraped
when
would assume the glossiness of a resplendent
cloudless sun
and would he
free
from pain.
Then the
it
Salaka (rod) should be gently withdrawn as soon as
would be able to perceive
vision,
and then the

During
in
(affected)
eye should be sprinkled over with clarified butter and
bandaged with a piece of
linen.
this
period *
the patient should be laid on his back
a comfortable
chamber
(free
from dust and smoke), and be warned

all
against indulging in
eructation,
those bodily functions such as

etc.
coughing, yawning, spitting, sneezing,
The regimen of diet and conduct thereafter should be

the same as observed by one internally treated with a Sneha (See Chapter XXXI, Chikitsita-s'tha'na). 36-A. The bandage should be removed on every fourth day, and the organ should be washed with the decoction of
the drugs of Vayu-subduing properties and
bandaged
again with a fresh one.
The eye
should be (mildly)
fomented on every fourth day as before, so that the bodily
Vayu might
+
not be aggravated.
during
This rule should be

rules
The
period
which
these
should be followed
to
is
'seven days' according to Vigbhata.
But according
Dallana
it is
only
the period during which the operation laiU.
Chap. XVII,]
UTTARA-TANTRAM.
it
79
fresh
followed for ten days, as

to the sight.
would impart a
(such
as
vigour
After-measures
snuffs,
errhines,
Tarpanas,
etc.)
should then be employed and the Diet
should consist of light articles of food and be given
only in moderate quantities.
36.
(viz.,
Persons declared unfit for venesection

old
infants,
men,
etc.)
in the
chapter on venesection * should
not be subjected to any surgical operation, in cases of

Niliktt except at the
place
mentioned before
(viz.
the
natural aperture
Daiva-krita Chhidra). 37. Symptoms and treatment

:
disorders resulting from an ous Operation If the incidental

(from a puncture in a wrong
the eye, in
place)
fill
of the injudicihaemorrhage
cavity of
in the
that case the

clarified
eye should be beneficially

butter duly
sprinkled over with
cooked with
(puncture)
Yashti-madhu and breast-milk.

close to the exterior corner
An
incision
(Apanga) of the eye would
usher in swelling, pain, lachrymation and redness of the

eye,
which should be remedied by poulticing (Upanaha)

arches of
the
the part between the
eye-brows,
and
sprinkling (Sechana) the

butter.
eye over with tepid

of the
clarified
In
the
event
organ bring punctured

iris)
near the Krishna-mandala (region of the
and the
pur-
Krishna-mandala being affected thereby, the affected

part should be sprinkled over with clarified
butter,
gative
should be administered and

leeches)
blood-letting (by
to.
means of
part
should be resorted
distressing
pain ensues from the puncture being

of the
made on
the upper
eye (Krishna-mandala) and this should be

affection. Excessive
cured by sprinkling drops of lukewarm clarified butter
on the scat of
*
lachrymation
sets
in
S'arira.Sthana, Chapter VII.
80

in
Chap. XVII.
with pain and redness of the eye

puncture being
the
event of the
made on
manner.
the
lower part of the eye

in
(Krishna-mandala) and such cases should be treated

the preceding
Emulsive (Sneha) application
and fomentation (Svcda) of the parts as well as applications of Anuvasana enema should be considered as
remedies
ness
in cases
of redness, lachrymation, pain,

(of the eye-lashes)
numbthe
and
bristling
in the eye, as
result
of an
excessive
and improper handling of the

37-38.
instrument during the operation.

If
removed
in
its
acute stage (in a case of Linga-
nas'a) the Dosha is liable to have an upward course and produce relapse in the red-coloured specks or films (opacity) in the Sukra (white part of the eye), and it
tends to give rise to an excruciating pain in the locality
and completely obstruct
the
vision.
The remedy
in
such a case consists in sprinkling the eye with clarified

butter duly cooked with the drugs of the
and
in the application of
the
diet
same
in
the
Madhuragana, manner of
cloud
Siro-vasti (crrhine).
Meat
should be prescribed for
the patient
in
such cases.
As
full-bodied
its
coming
in contact
with the wind meets
destruction,
if
so the fully aggravated
Dosha meets
:
its
_
doom,
39-40.
operated
upon with the surgeon's Salaka

ranged Dosha
is
(rod).
Causes Of Relapse A
relapse
of the de-
caused by a blow on the head, physifits,
cal exercise, sexual excesses, vomiting, epileptic
or
by an
its
act
of piercing the Linga-nas'a (cataract) during
partially developed (D. R.
immature) stage.
41.
Symptoms produced by the defects

Of the S'alaka' : Care
should be taken not to
remove the cataract with a roughly shaped Sah&tf (rod) as it might usher in an acute and aching pain in the
affected organ.
rod with an
unsmooth body might
Chap. XVII.
UTTARA-TANTRAM.
lead to an aggravation of the deranged Doshas.
thick-
topped rod would necessarily create an extensive ulcer, whereas a sharp one begets the apprehension of hurting
the
sets lar
eye
in
in
many
ways.
An
excessive
lachrymation
from using a rod with an unequal or irregutop or mouth, whereas its unsteadiness (in the course
of the operation)
makes the operation an abortive

(rod)
in
one.
Hence a Salaka
for the
should be constructed and used
purpose
such a manner as to preclude the
possibility of the foregoing defects
and
injuries.
42.
Description
Salaka (rod) should be
length,
its
of
made
the
to
aia'ka':The
in
measure eight fingers

of the
middle part being covered with strings of
thread and resembling the upper section

in circumference
thumb
and
its
ends terminating in the form

be
of a
bud.
The
rod (Salaka) should

43.
prepared of
copper, iron or gold.
Derangements
Operation
like eye
:
Redness
due
of the
to
eye,
defective
local
swelling,
sucking pain, (appearance of) Arvuda or Vudvuda, hogto the
&c. are due improper handling of the rod or to the use of improper regimen of diet and conduct. These should be
(Sukarakshita) * and ophthalmia
remedied according to the nature of the deranged Dosha involved in each case. 44.
Their treatment :Now

discourse
in cases of
again
hear
me
on the
(specific)
medicines to be employed
in
pain or redness
the eyes.
medicinal
plaster
composed of Gairika, S'drivd, Durvd, and barley pasted with milk and clarified butter, should be
-
-f
Both
Virinda
and Chakradalta reads
"KekarikstaiU"
*. e.
squinting look.
Vrinda and Chakradatta following Vagbhata do not lead "Payas"

first
(milk) and they read the
line of this couplet in a different form.
II
82
applied
[Chap. XVJI.
lukewarm (about the eyes) for the subsidence of pain and redness. A plaster (Lepa) prepared of
fried
Siddhdrthaka (white mustard seeds) and slightly
sesamum
seeds pasted with the
expressed
juice
of
Mdtulunga, or one prepared of Payasyd (Kshira-kakoli),

Sdrivd, Patra, Manjishthd and
together with the
Yashti-madhu pasted
if
milk of a she-goat,
region,
plaster
applied
luke-
warm
tnaka,
is
to
the
affected
redness of the eyes.
removes the pain and composed of Ddru, Padin
and S'unthi, prepared and used
the same
way
likewise
recommended
for
the
purpose.
plaster
of Drdksftd,
Yashti-madhu,
Kushtha
and
Saindhava
should be likewise used.
Cow's milk cooked with Saindhava should also be used for the alleviation of pain
and redness of the eye.
Clarified butter duly
cooked
with the admixture of S'atdvari, Prithak-farni, Musta,
Amalaka, Padmaka and the milk of a she-goat, should

be applied
alleviation
Clarified
(cold)
to the
affected
organ (eye) for the

therein.
of
pain
and
burning sensation
butter duly
cooked with the Kalka of the

of the clarified
butter, previously
drugs of the Kdkolyddi group with a quantity of milk

four times the weight
cooked with the drugs of the Vayu-subduing (Bhadraddrvidi) group

(in
the
manner
in
of Kshira-p&ka) should be
considered as efficacious
externally, in cases
any
form (internally or
of ocular affections.
The
affected
organ should be treated with Sncha emulsive (applications)
and (Sveda), fomentation and opening of the veins

or
cauterisation
(Sira)
(by honey, clarified butter, or
treacle) as described
before,
should be resorted to
in
cases where the foregoing remedies
would
fail
to
pro-
duce any
effect.
45-46.
Eyesight-invigorating
Now
hear
Anjana :
recipes
me
describe
two
beneficial
of Anjana.
Chap. XVII.
UTTARA-TANTRAM.
8j
clear-
which would invigorate the eye-sight and impart a

ness of vision. Flowers of Mesha-S'ringi, S'irisha,
Dhava
and of Mdlati together with pearl and Vaidurya (ruby)

should be pounded and
addition of the milk
thus
made
into
paste with the
of a she-goat.
in a
The compound
of convenient
prepared should be kept
copper vessel for a
week and then made into Vartis lengths and applied to the eyes
Anjana.
(sticks)
in
the
manner
of an
Varti
(stick)
should be similarly prepared
with Srotonjam, coral, Samudra-pliena, Manah-s'ild and
Markka and
to
used similarly as an Anjana (eye-salve).
It
imparts steadiness of vision.
The many
other
Anjanas
be described
in
the next
Chapter (Kriya-kalpa)
47-48.
may
also be beneficially applied for the purpose.
Thus ends
the seventeenth chaplei in the Uttara-Tantra of the Sus'rutatreats
Samhitd which
Drishti (pupil).
of the curative
measures of the diseases of the
CHAPTER
Now we
(external
shall diseourse
XVIII.
on the Chapter which treats

adopted or employed
in
of the preparations
and uses of the medicinal measures

in
applications) to be
treating
ocular
i.
affections
general
(Krly(-
kalpa).
Here follows a general exposition of the instructions which the sainted lord of Benares, the holy Dhanvantari
of profound
intellect
imparted to
his
disciple
the
son of Vis'vamitra (Sus'ruta) regarding

medicinal measures (Kriya) such as
the
different
Tarpana
(soothing),
Seka (sprinkling), A'schyotana (eye-drops), Puta-paTias Anjanas (eye-salves), etc., mentioned before in different places to be employed in diseases of the eye. 2-3.
The Tarpana Measure : The

known
under
after
measure
an
as
Tarpana should be employed

of propitious
in respect of
affected eye either in the fore-noon or in
the after-noon
the auspices
astral combinations,
having purged the head and bowels of the patient

to the digestion of
and subsequent
taken.
The
patient
should
be
la id
any food previously on his back in a
chamber not exposed to the rays of the sun, and the gust of the wind, and where the atmosphere is not charged
with minute particles of floating dust.
eye
(i. e.
The
region of his
eye-lids) should
be thickly coated with powdered

in the
Mdslia pulse, pasted (with water)
form of a circular
wall which should be even, hard and compact.
Then a
quantity of the transparent upper layer of clarified butter

should be stirred with the admixture
of a
quantity of
lukewarm water and poured (Purana) into the cavities of the eye up to the eye-lashes and retained therein for as
Chap. XVIII.
UTTARA-TANTRAM.
five
85
long a period as one would take to count

six hundred, eight hundred,
hundred,
respectively in
cases
and ten hundred syllabless of healthy persons and persons

According to certain authorities,
(of clarified butter) should
(in
with Kapha-origined, Pitta-origin ed and Vayu-origined

diseases
of the eye.
the periods of such retention
vary with the seat of the affection

clarified butter
the eye-ball).
The
mentioned above should, according to

in
them, be retained
the cavities of the eye for as long
a period as one would take to utter three
hundred,
five
hundred, seven hundred, one thousand, or eight hundred

syllables respectively in cases
of the
diseases
confined
to the region of the Sandhi,
Vartman, Sukla, Krishna,

the Drishti of the
the eye in general (Sarva-gata) and

eye*.
The
clarified butter
should then be secreted through
the interior corner of the affected organ which should be
by applying poultices of pasted barley. The Kapha, deranged by the use of this Sneha-Purana should be then conquered by making the patient inhale some
purified
kind of Kapha-subduing
Dhuma
(smoke).
five
This rule
-f
should be observed for one, three or

sion.
4.
days
in succes-
Symptoms
ive
the
first call,
of satisfactory, excessat
secre-
and defective Tarpana : Sleep

unembarrassed waking, cessation of
tion, clearness of vision,
agreeable sensation, perceptible
amelioration of the disease,
and lightness of the organ
Accordtng
to
some, the 'Pnrana' should be retained in the eye for a
period
required to count one thousand syllables in cases of Sarva-gata and
eighteen hundred words in cases of Drishti-gata eye-diseases.
t According
or five
to
Gayadasa,
this
rule should
be observed
for one,
three,
res-
days in cases of the preponderance of Vayu, Pitta and
Kapha
pectively,
and according
to Jejjata, in cases of mild,
moderate and severe
attack respectively.
86
are the
Chap. XVIII.
symptoms which result from a proper and satisfactory Tarpana of the eye. Cloudiness of vision,
of heaviness
(of the
in
a sense
the affected
organ, excessive
glossiness
eye),
lachrymation, itching, sliminess
and an aggravation of the Doshas are the features which mark a case of severe and excessive Tarpana. A sense
of dryness
in
the affected
organ, cloudiness of vision,

to
light
profuse
lachrymation, sensitiveness
and .an
aggravation of the disease are the

act of defective
evils
which follow an
5-
Tarpana
:
(of the eye).
Treatment of excessive and defective Tarpana Cases of defective and excessive

Tarpana should be remedied with the application of snuffs, Anjanas, washes and inhalations of smoke and by adopting dry or emulsive measures, (as
medicinal
the cases
may
require).
6.
and dcand darkness of vision, archedness of sight, absolute want of lachrymation, parchedness of the eye, hardness of the eye-lid and a severely diseased condition of the eye arc amenable to the application of the Tarpana measure as giving tone to the eye. The Tarpana measure should not to be applied in a cloudy day, nor in a day excessively hot It should not be applied to the eye of a or cold. person engrossed by anxiety or fear, nor before the
pilation
Cases for Tarpana : Shrivelling

of the
eye-lashes,
cloudiness
subsidence of the supervening

the eye-disease.
7-8.
symptoms (Upadrava)
of
The Puta-pa'ka
is
:~-The Puta-prfka measure
should be applied in the aforesaid cases.
not applicable in cases where

internal
and the
The Puta-paka Nasya (errhines), Tarpana application of Sncha (Sneha-pina) are

subsidence of the Dosha,
forbidden.
After a complete
the Puta-paka should be applied to the (affected) eye
Chap. XVIII.
UTTARA-TANTRAM.
87
in cases
where the patient would be found capable of

it.
being treated with

divided
into
The Puta-paka measure may be

classes,
viz., Snehana (emulsive), Lekhana (scraping) and Ropana (healing) Puta-paka. The Snehana (emulsive) Puta-pdka is recommended in cases marked by the extreme parchedness of the affected organ or locality, and Lskhana (scraping) ones are
three
efficacious
in
cases
;
of
excessive applications
of the
Sneha to the eye is invigorated by the Ropana (healing) Puta-paka, which restores the Vata, * the Pitta and the blood of the affected locality to their natural conditions, and (consequently) heals the
while the eye-sight
ulcer.
9-10.
Preparation of Snehana, Lekhana, and Ropana Puta-pa'kas :The Snehaua

(emulsive) Puta-paka should be prepared with the
(of
flesh
in
animals frequenting marshy places) abounding
Sneha f and with the Vasa (lard), Majjan (marrow), and Medas (fat), and the drugs of the Madhura group and it should be retained in the eye so long as one would take to utter two hundred syllables. The scraping or
Lekhana Puta-paka should be prepared with

and the
as well
shells,
the flesh
liver
of an animal of the Jingala species and
the drugs possessing the Lekhana or scraping properties,

as
Vidruma
powders of black iron (corals), Saindhva
(steel),
salt,
copper, conch-
Samudra-phena,
Kdsisa (sulphate of iron) and Srotonjana (pasted toThe affected locality gether) with the cream of curd.
should be exposed to a
Lekhana
Puta-p^Jka
as
long as
A different
In
reading, mentioned by Dallana, does not read "Vita."
place of
"*JKîs" meaning
l'-
flesh
abounding in Sneha, a
flesh)
is
different reading "^ftbirfa"
e> clarified
butter and
quoted by
Dallana.
88

to utter a
Chap. XVIII.
one would take

healing or
hundred syllables
at most.
The
Ropana Puta-paka
flesh of
should be prepared by
cooking the
breast-milk,
an animal of the Jangala group with

butter
honey*, clarified
and
the
bitter
drugs, and should be retained in
the affected
eye for a
period three times as
much
as
the Lekhana-Puta-paka
should be retained
i.e.,
for a period as long as
one would
connection
require to utter three hundred syllables.
11-13.
in
The fumigating measures mentioned

cations of
with the Tarpana of an affected eye, as well as theappli
Sneha and Svcda, should be resorted

of the
to in the
cases of the application of the Puta-paka measures, except

in
cases
application of the
Puta-paka applications
or
may
be
Ropana Puta-paka. made on one day only
may
be
continued for
two or three days.f.
strict
regimen of diet and conduct should be observed
for
a period twice as long as the preparatory period
(beginning with the time of administering the Sneha to

the patient for preparing him for the application of the
Puta-paka
till
the time of actually administering the

14-15.
Putapaka
itself).
Prohibition and Remedies for infringement : After the application of Tarpana

and Puta-paka
(to the affected
eye)' the
fire,
patient
should
not catch glimpses of the light,
sky, looking-glass or
any other luminous object; nor he should expose the eye

* In place
of
'
^ftqjsij"
lit.
(honey and
clarified butter)
Dallana quotes
butter pre-
a variant "fjsznsg"
sacred clarified
butter
e.,
clarified
pared from cow's milk.
+ Dallana explains that the application

should be
of the
Puta-paka measure
if
made
for
one day only in Kaphaja eye-diseases, or

;
the
Puta-paka be a Lekhana one

in Pittaja eye-diseases, or if
it
and
it
should be continued for two days

;
be a Snehana one
and
for
three
days in
Vataja eye-diseases, or
if it
be a Ropana Puta-paka.
Chap. XVIII.]
TJTTARA-TANTRAM.
89
to the blast of the wind.

incidental to
rules to
The unfavourable symptoms and induced by an infringement of the
be observed after the application of these two
(Tarpana and Puta-paka) measures should be remedied with the applications of Anjana (collyrium), A's'chyotana and Sveda (fomentation) to the deranged bodily Doshas,
underlying each particular case.
16-17.
Satisfactory, excessive and defective application Of Pllta-pa'ka :Freshness
and clearness of the colour

of the
(of the
cornea),
capa-
bility
organ (eye) to bear heat, light and wind,
refreshing sleep
and an unembarrassed gladsome wakening and a lightness of the organ are the benefits which are derived from Satisfactory Puta-paka applications. Darkness of vision, pain and swelling of the eye and
the appearance of eruptions organ,
arc
(Pidaka)
in
the affected
the
evils
tion of the Puta-pka
which mark an excessive applicameasure while suppuration and

;
lachryrnations of the
eye and a
thrilling 'Sensation
(Harsha) in the affected organ, as well as a further

aggravation of the Dosha (involved) are the characteristic
features of a deficient Puta-paka application.
18.
Mode of preparing
I
Pllta-pa'ka : Now
Pllta-pa'ka
shall
describe the
mode
of preparing a
remedy.
pasted
Two
Vilva (Pala) measures of cleansed and

of the
pasted meat, one Pala measure together and one
medicinal drugs
Kudava
(half a seer)
measure
of liquid
ingredients should
made
into
ball),
be mixed together (and well covered with .the leaves of
Kadali, K&smari, Eranda,
Kumuda
or of
Padma
or
in
plant.
Coated with
clay,
it
should be duly scorched

of catechu
in
the
burning charcoal
(fire)
wood
that of
Kataka, AJmantaka, Eranda, Pdtald,

/T.svfoVtf-exuding trees,
Vdsaka, Vadara,
or in the
fire
of the dried cakes

13
90
of cow-dung.
THE SUSHKUTA SAMHITA.
[Chap.
XVIH.
When
fire
well
cooked the
ball
should be
taken out of the
and broken and
its
contents with-
drawn and squeezed.

collected
The
(to
fluid extract
should then be
in
and applied
the affected organ)

19.
the
manner of applying a Tarpana.
The mode of application : The

being laid on his back at the time, the
fluid
patient
extract in
both the cases
(Tarpana and Puta-paka)
should be
in
dropped cold into the Kaninika (Cornea) of the eye

cases of
;
derangement of the blood and the Pitta it should be used lukewarm when the Vayu and the Kapha
would be found to have been aggravated.

sensation in the affected eye as well as
its
burning
consequential
inflammation would
result
from the use of too hot
(warm) or strong or keen-potencied (Tikshna) extract

for the purpose.
thrilling sensation (Harsha), pain
and
numbness
affected
in
the locality and lachrymation from the
organ originate from the use of a cold and

or
mild-pofincied Puta-paka
Tarpana eye-drop.
effects
Redof an
ness and contraction of the eye attended with
a jerking
and throbbing sensation therein are the

excessive (over-dose) application of the
Puta-pika and
Tarpana, whereas a deficient (under-dose) use of them

produces an aggravation of the deranged bodily Doshas
in the locality.
Properly applied, they alley the burning
and itching sensation, swelling, pain, lachrymation and mucous secretion, as well as the (unnatural) coating and As every one is desirous redness in the affected eye.
of avoiding the aggravation of Doshas, so the Puta-paka
as would give health
and Tarpana measures should be applied in such a way and happiness (to the eye). The evils resulted by a course of injudicious application of
Puta-paka or Tarpana, are to be remedied with the
of errhines
application
Nasya ), Dhuma and Anjana
Chap. XVIII.]
UTTARA-TANTRAM.
specific
in
gi
bodily
remedial to the
deranged
20.
Dosha or
Doshas involved
each case.
The
affected eye should be
fomented before the use
of a Puta-paka
Tarpana measure with a piece of cloth soaked in hot water (and rinsed). Fumigation of the affected organ in the end should be prescribed in a
or
case
marked by an aggravation
21.
of the deranged
Kapha
pre-
of the locality.
As'ChyOtana and Seka ".Properly

would respectively subdue cases of
attacks of the eye.
slight
pared and applied, the As'chyotana and Seka measures
and violent
(Lekhana,
Like the Puta-paka measure these

classes vis.,
two also are devided into three
Snehana and Ropana).

(for the
Seven or eight drops of the
medicinal fluid should be used in
Lekhana-AVchyotana
;
purpose of scraping the affected eye)
ten drops
in
the
Snehana
in
(for
emulsive
purposes) and twelve

(
drops
setting
the
Ropana
As'chyotana
for the
in
purpose of
up a granulative process
a local sore or
wound).
The maximum
is
period for which an (affected)

is
eye should be subjected to the Seka measure

long as
enjoined in respect of a
or until the disease
twice as
Puta-paka measure*
is gradually and wholly removed.f Both the As'chyotana and the Seka applications should
be made
in
the morning or evening or at noon (in accord-
The
period for which an affected

is
eye
should be subjected to the

It
As'chyotana measure,
not given in the text, but Dallana says that
should be the same as observed in cases of Puta-patka.
Some, however,
hold that in cases of both Seka and As'chyotana the period would be twice
as that for Puta-paka.
This rule
is
for
subjecting
the affected
eye to
the
measure
till
the
disease
gradually and wholly removed

it
is for
Seka and As'chyotana only j
but according to some
is
a general rule which applies also to cases of
Fula-pa!ka and Tarpana, etc.
gi
THE SUSHKUTA SAMHITA.
[Chap. XVIlt.
ance with the aggravation of the deranged Doshas),*

or whenever there would be pain (in the affected
eye),
"f
The symptoms of proper and improper (excessive and

deficient)
applications of a
Sneha (emulsive) Seka are

22-23.
diseases
serious
identical with those of
Tarpana.
Ît*0-Vastl
application
of
The
peculiar to
the head readily yeild to and

Siro-vasti,
are
conquered by the
also
which
as
produces the
very good
effects
known
the
Murdha-tailika ones
peculiar to the use of (emulsive) Siro-vasti.
The
patient
having been treated with purgatives and emetics (according

to
requirements
should be given
a proper diet
according to the nature of the disease, and

sit
erect
in
the evening,
made to when an animal bladder (the
bladder of a goat being usually used for the purpose)

filled
with the proper Sneha, should be placed on his

tied
crown and firmly

filled
up with a bandage.
retained
The Snehathe head ten
bladder should be so
long as
is
on
times as
necessary for Tarpana measure,

24-25.
according to the nature of the disease.
Anjana
Ropana
should
of the
Proper Anjana for Lekhana (scraping),

or Prasadana (invigorating) purposes
(
(healing),
be applied after the cleansing
purging,
etc.)
system
in
cases where the deranged bodily

in the region
Doshas would manifest themselves

eye only.
26.
of the
A
*
Lekhana-Anjana should be prepared with the

should
The Lekhana-seka and As'chyotana

in the aggravation of
be applied in the
morning
Kapha,
while the Snehana one should be
applied in the afternoon in the aggravation of
VttyUi the Ropana

measures
but
ones
being applied at noon in the aggravation of Blood and Pitta.

t Dillana holds, that bath the Sjka and As'chyotana
may
be applied when- ver there
is
pain in the
affected
eye,
others hold
that this rule applies only in cases of Seka.
Chap. XVI1I-]
UTTARA-TANTRAM.
93
drugs of one or more tastes (Rasa) except the sweet
one and should be used

ing to the nature of the
in five different ways accordDosha or Doshas involved in in
each
case.*
The Dosha accumulated

and the
the
eye-lids,
the regions
of the eye
in
the ball, the passages,
and
in
the capillaries of the eye, as well as in the

of
gristle
nose
mouth, the
nostrils
would be secreted through the and the corners of the eyes by
the application
of a Lekhana Anjana. A RopanaAnjana should be prepared with the drugs of bitter and astringent tastes ( Rasa ) mixed with ( a little
quantity of
purposes.
clarified
butter
and
is
good
for
healing
it
Owing
its
to the
presence of the
Sneha,
is
cooling in
effect
and consequently gives natural
colour and vigour to the eye.
Prasa'dana- Anjana, pre-
pared with the drugs of sweet taste and with (a profuse

quantity of) Sneha, imparts tone and vigour to the eyesight
and should be used with advantage
for all
sooth-
ing purposes connected with the organ.
of the different kinds of
The application Anjana should be made in the

night
-f-
morning,
* In cases
evening or in the
of
in
accordance
the
derangement of the local VjCyu, the Anjana should

of acid
be prepared
with the drugs
and saline
tastes
taste
;
(Rasa)
in
in
the
derangement of the Pitta with those of astringent

those of astiingent, bitter
Kapha
with
and pungent
tastes
In cases of the derangethat in
ment of
the
bloodt Ihe Anjana should be
like
the derangement
of Pitta, and in cases of the derangement of two or three Doshas simultaneously, the
Anjana should be prepared with drugs of two

should
be applied in
or
three of
the tastes required.
The Anjana
the Pitta.
the
morning, in the evening
and
in the night respectively in the cases of
the derangement of the
Kapha
Vayu and
According
to the others, the
S'odhana, the Ropana
and the Snehana Anjanas should be respectively used in the morning, in Others, however, are of opinion that these the evening and in the night.
different times should
be judiciously selected in the different seasons of
the year according to requirement.
94
[Chap. XVIII.
with the nature of the deranged bodily Dosha or Doshas

involved in each case.
27-30.
an
Of Alljana :The forms in which Anjana may be, are those of pills, liquid (Rasa-kriya)
effica-
Forms
and powder * each succeeding, one being more

cious than
the one preceding

31.
it,
in the order of enu-
meration.
Their sizes and closes : The

a Lekhana, Prasadana and Ropana Varti
size (dose) of
(Pill)
should be
equal to that of one and a half and twice as
Kaldya pulse
for ocular affections in general.
much as a As regards
the application of Rasa-kriya-Anjana in these disorders the quantity to be

that of the
used in a dose should be equal to

in
Varti
the different
cases
(to
respectively.
in
As regards the dose of the powders

diseases)
it
be used
eye-
should be respectively twice, thrice and four

as would
32.
times as
much
be contained at the end of a
Salaka
(rod).
The materials of the vessel and rod for the use of an Anjana : The vessels
containing the
different
kinds of Anjana should be
according to the different kinds of Anjana themselves,
and these
use
vessels
as
well
as the Sal&kd (rod) for the
should be
(a
made
of gold, silver,
horn,
copper,
Vaidurya
kind of precious stone), bell-metal and iron

different
tastes
respectively (in accordance with the
of
the drugs the Anjanas arc
made
of), -f
The end
of the
Dallana
says
that
Pill-Anjanas,
Liquid-Anjanas
and Powder-
Anjanas should be prescribed in cases of severe, intermediate and mild

attacks respectively.
According
to
Dallana the Anjana of sweet
taste should
be placed
in a golden vessel, that of acid taste in a silver vessel, that of saline taste In a vessel
made
of horn (of a sheep),
that of astringent taste, in a vessel
either of copper or iron, that of pungent taste in a vessel
made
of Vaidurya,
Chap. XVIII.]
UTTARA'TANTRAM.
95
rod should terminate in a bud-shaped ball with the girth

of that of a Kaldya pulse,
eight fingers only.
at
It
its
entire
length measuring
would be well polished, slender

copper,
the
middle and capable of being easily handled.

of
rod prepared
etc.,
precious stones such as

etc.,*
Vaidurya,
beneficial.
and horns or bones,
will
prove
33.
How to apply an Anjana

drawn apart with the
right
left
: The
the
lids
of
the affected eye (of the patient) should be slantingly
hand, and
Anjana
should be carefully applied by holding the rod with the
hand and by constantly moving the rod from the Kaninika to the Apanga and vice versa ( along the
inner side of the
eye-lid
).
This
process
should
be
repeated
twice or thrice
according to requirements.
The Anjana should be

would be necessary
eye-lid.
applied with the finger

use
it
when
it
to
in
on the outer side of the

in the
The Anjana
no case should be thickly paint(i.c.,
ed in the corners of the eye
Kaninika and
the
Apanga from
fear of hurting them), nor the organ
should be washed
till all
the aggravations of the derang-
ed (bodily)
Dosha
in in as
the
locality
are
completely
removed thereform,
fresh aggravation
sight.
much
as
it
might bring on a
and impair the strength of the eyeAfter the subsidence of the deranged local Dosha
bitter taste
and that of
should be
placed
in a
vessel
made of
bell-metal.
The
S'alikd (tod) for the use of the
different
kinds of Anjana should be
also accordingly prepared.
According
Datta, in
to
Nimi, however, as quoted by Dalfetna and S'rikantha
commentaries, the Ropana, Lekhana *and Prasddana Anjanas should be placed in a vessel and used with a rod prepared respecttheir ively of iron, copper
and gold.
The
other materials
may
be,
however,
used with discretion by an experienced physician.

*
The
word
'^ftf' in the text
shows
that a rod of gold
may
also be
used with benefit Pallana.
g6
THE SUSHRUTA SAMHItX.

the eye should be
first
[Chap. XVIII.
and of lachrymation,
water, and
washed with
in
Pratyanjana should then be used

specific
in
accor-
dance with the nature of the
deranged bodily
34.
Dosha or Doshas underlying

Anjanas
fever,
fits is
each case.
Forbidden Cases : The
application
of
prohibited in cases of persons suffering from
Uddvarta, and the diseases of the head and during
of anger, grief, fear, weeping

in
and intoxication, as and

urine,
well as
in as
cases
of the
retention of stool
(in
much
as
it
might produce
these cases) lachrypain,
mation,
(Timira),
ness.
ûla (aching pain), redness,

swelling
in
blindness
giddi-
the locality, as well as

of
An
application
the
Anjana
in
case
of
insomnia might be
sight*.
followed by
the loss of the eye-
The
application of an Anjana in
a windy day
may
impair
the eye-sight.
dust
or smoke,
Application to the eyes
affected with
may
bring
on redness,
Adhimantha (Ophthalmia) and

aching pain and swelling
aggravation
of
in
local secretion.
it
Applied
after the use of an errhine (Nasya)
may
It
usher in an
to
the eyes.
if
leads
in
the
the
disease,
applied
of
disease of the head.
The
it
application
any an Anjana
or in a
would be abortive, nay,

Dosha,
if
would rather aggravate the

bath,
applied before sun-rise, after a
very cold day, owing to the

bodily Dosha.
fixedness of the deranged
Similarly, the application of an
Anjana
would
of the
*
fail
to produce
any
effect in a case of
indigestion,
owing to the sluggish condition of the internal passages
body (during the continuance of the
disease).
is an additional text"ff 5fsri M SRi which supplies -complete verb and a makes the sense fafTO IPffTOTH"
In some editions there
complete.
The
line
means
the application of an
line).
Anjana in a forbidden
pain etc,
case produces loss of sleep (insomnia) in addition (to redness,
mentioned in the preceding
bap. XVIII.]
UTTARA-TANTKAM.
Anjana
in
'
97
The
application of an
an aggravated stage
Hence, the applicain
of the deranged bodily Doshas, ushers in the distressing
symptoms
tion of an
peculiar to each of them.
manner as not
Anjana should be carefully made to induce any of the aforesaid

in
such a
evils,
and
these rules should be specially observed
connection
with a Lekhana-Anjana.
should be treated with
plasters,
These distressing symptoms washes (lotions), As'chyotana,
Dhuma
(fumigation),
Nasya and Kavala (gurgle)

in
with due regard to the specific nature of the deranged

bodily
Dosha or Doshas involved
each case.
35-36.
Symptoms
ive
:
of satisfactory, excess-
and deficient use of a LekhanaAnjana Lightness, whiteness and pristine clearness of the
vision
eye,
marked
tressing
and absence symptoms, are
of secretion
by the improved power of and all other disindications which
the
point
to the fact that the eye has
been satisfactorily purged

the proper application
excessive purging of the
of the accumulated Doshas (by of a
Lekhana Anjana).
An
eye (by the excessive use of a Lekhana Anjana) begets

such local evils as the deep discolouration of the external
coat of the eye,
its
sense
of looseness
in
the socket,
lachrymation, archedness of the organ

constant dryness in
its
and a sense of
in
cavity.
in
The medical treatment
such instances consists
the employment of soothing
(Santarpana) and other Vayu-subduing remedies.

insufficient
An
or
deficient application
of
the
Lekhana^
Anjana leads
to the aggravation of the local
deranged
out
local
bodily Dosha
which should
be
fully
secreted
by employing medicinal
fumigation.
37-39.
errhines,
Anjana
and
Symptoms of satisfactory,
ive
and deficient use
of
excessPrastfdana
r
98
THE dU.SHRUTA SAMHITX.
Chap.
XViH.
(Snehana) and Ropana Anjanas ;The

action of the satisfactory application
of a Prasa'dana
(Snehana) Anjana
natural colour
is
to soothe
the eye, to impart a

to
it
healthy tone to the organ of sight,
restore
its
and
gloss,
and to make
strong and
unclouded and free from the aggravation of any Dosha.
Any
excess in the application
is
followed
identical with those of excessive application of
by results Tarpana
(soothing measures)* to the organ, and the

sists in
remedy con-
employing mild but parching remedies antidotal to the deranged bodily Dosha (Kapha) involved in the
case.
The symptoms which mark a satisfactory and excessive application of a Ropana (healing) Anjana,
to be applied in
as well as the medical treatment
cases
of excess, are identical with those mentioned in

tion
connec-
with the
satisfactory
and excessive application

Anjanas
(respectively).
of the
Pras&dana (soothing)
Deficient applications of both the Snehana (soothing)
and the Ropana (healing) Anjanas

affections) are sure
(in
respect of ocular
effects.
to
prove abortive in their

apply
it
Care should,
if it is
therefore, be taken to
properly,
hoped to get the wished-for result. 40-43. Thousands of remedial measures and remedies
may
the
be devised
and
employed
in
the'
manner
44.
of
Puta-paka and other measures
on the basis
of the
fundamental principles herein inculcated.
Now we
shall describe the

fit
recipes
for
and preparations
to
of several principal Anjanas
the use of kings and the
crowned heads
eye-sight
for the purpose of giving strength
and
for the
amelioration of ocular affections

palliative measures.
(Kacha,
etc.)
amenable only to the
Eight parts of Rasdnjana (Antimony) having the hue of
See S'loka 5 of this Chapter,
Chap. XVIII,]
UTTARA-TANTRAM.
99
a (full-blown) blue lotus flower, as well as one part each

of (dead) copper, gold and silver should be taken together
and placed inside an earthen
crucible.
It
should then
be burnt by being covered with
the burning charcoal

fire
of catechu or .As'mantaka wood, or in the
of dried
cakes of cow-dung and blown (with a blow-pipe till they would glow with a blood-red effulgence) after which the
expressed juice (Rasa) of cow-dung, cow's urine, milk-curd,
clarified butter,
honey,
oil,
urine, lard,
marrow, infusion of
the drugs of the Sarva-gandhd group, grape-juice, sugarcane-juice, the expressed juice of TripJuxld
and the comSdrivddi
pletely cooled decoctions of the
drugs of the
and the Utpalddi groups, should be separately sprinkled

over
it
in
succession
alternately
it
each time with the

explicitly, the crucible
heating thereof, (or to put

should be taken
more
down
after being
heated and then one

over
its
of these draughts should be sprinkled
contents
and then again heated and again sprinkled over with

another draught, and so
on).
After that, the preparation
should be kept suspended in the air for a week, so as to
be fully washed by the rains.

tionate parts (quarter part) of
corals
is
The compound should

pearls,
crystals,
then be dried, pounded and mixed together with propor-
powdered
and Kdlanu-sdrivA. The compound thus prepared
a very good
Anj ana and

of
ivory,
should be kept in a pure

Vaidurya,
vessel
made
crystal,
S'amkha
wood.
It
(conch-shell), stone, gold or silver or of Asatta
should then be purified
(lit.
worshipped)
in the
manner
of the purification of the

before.
It
Sahasra-Paka-Taila described
may
then be prescribed even for a king.

it
Applied along the eye-lids as a collyrium,

king to become favourite with
his
enables a
subjects
and
to
continue invincible' to the last day of his

ocular affections
45.
life free
from
100
Chap.
XVHt.
Bhadrodaya-Anjana :The
as Kusht/ta,
drugs
known
Chandana,
Eld,
Patra,
Yashti-madhu,
Rasdnjana, flowers of Mesha-s'ringi,
Chakra (Tagara),
lotus, Ndga-kes'ara,
the seven kinds of jewels*, the pollens of the flowers of

Utpala, Brihati,
Kantakdri and of
of hen's
Us'ira, Pippali, the shells
eggs,
Ddru-haridrd,
or
Haritaki,
Goroc/wnd,
Markka,
marrow
kernel
of
Vibhita&a-seeds and the flesh of lizards (which are found

to scale the walls of rooms), should be
in equal parts
powdered together
in
and should be preserved

in
vessel
and
This
purified
(sanctified)
the
preceding manner.
Anjana
is called the Bh adrodaya- Anjana and should always be used by a king. 46.
Equal parts of Chakra (Tagara), Markka, Jatd-mdmsi and S'aikya with Manah-s'ild equal to the combined
weight of the preceding drugs, four parts of Patra with
Rasdnjana (antimony) twice the combined weight

all
of
the
preceding
drugs and
Yashti-madhu of equalf
the fore-
weight with the last-named drug (Rasdnjana) should be
powdered together and used as an Anjana going manner. 47.
in
Manah-s'ild, Deva-ddru, the two kinds of Rajani, Triphald, Trikatu, Ldkshd, Las'una, Manjishthd, Saindhava,
Eld, Mdkshika, Sdvaraka Rodkra, dead iron and copper,
Kdlanu-sdrivd and the outer shells of hen's eggs taken

in equal
parts
should be powdered together, resolved
into
a paste with milk and

size.
made
into
as
pills
of adeitching
quate
Diseases
of the
eye such
the
sensation in the eye,
Timira,"
Suklarma and Raktaraji

48.
readily yield to the curative efficacy of this Anjana.

*
The seven kinds
of gems are (1) Padmaraga, [2) Marakata, (3) Nila,
(4) Vaidurya, (5) Mukta (pearl) (6) Pravala and (7) Hema (gold). t According to some the weight of the Yashti-madhu to be uied in
this
Anjana should be equal
to that of all the other drugs
combiaed.
Chap. XVlli.
UTTARA-TANTRAM.
lof
An Anjana
ing
it
should be prepared by collecting lamp-
black on a vessel
made
of
Indian bell-metal, and mix-
with one part each of
Yashtimadhu, Saindhava,
Tagara and roots of Eranda, as well as two parts of

Brihati.
This
compound should be pasted
together
with goat's milk and thinly plastered on a copper plate.
This process should be continued for seven times in

succession
and dried
in the
shed.
It
should then be
relieve
made
into
Vartis and (used as such) would

49.
pain in the eye.
One
part
each of
Haritaki,
Yashti-tnadhu
with
pasted
into
sixteen parts of Maricha should be pounded and
together with cold water.
It
should then be
in
all
made
Vartis and would be efficacious

affections.
sorts
of ocular
An
the
experienced physician
may
with care
and
discretion prepare Pindtfajanas with the drugs antito

specific
dotal
the case, in
preparations.
the
Dosha or Doshas involved in manner of preparing the Rasa-kriya
50-51.
Thus ends the eighteenth chapter of the Uttaia-Tantta in the

measures
to
Sus'ruta
Samhita whieh deals with the preparations and uses of the medicinal
be used in different ocular
affection!..
CHAPTER
Now we
shall
XIX.
or
injury to the
i.
discourse
cases
on the medical treatment

eye
to be adopted -in
of hurt
(Nayana'bhigha'ta-Pratishedha).
A violent and
intolerable
pain
in
the eye accom-
panied by redness and swelling therein, resulting from a blow or from any sort of hurt or injury to the organ,
should be remedied with the application of medicinal
Nasya
(errhines),
plasters,
sprinkling
and Tarpana
mentioned
in
(soothing measures),
before, as well as the Pittaja
and
other measures
measures prescribed
cases
of
and Raktaja Abhishyanda
lit.
remedial to the
Pitta
pain (Sula) caused by the deranged blood and

in the locality.
The
affected
eye (Drishti) should also
be soothed with the help of cool, sweet and fatty drugs. This kind of treatment should also be followed in cases
where the eye would be hurt or oppressed by (excessive)

fomentation,
smoke
or glare-fife, or affected on account
of fear, mental agony, pain or injury.
These measures
should also be resorted
during the
as a
first
stage (t. e., week) of the hurt or injury in the eye.

in
to
the first
After this period the affected

case
of an
eye should be treated
Abhishyanda with due regard to the specific deranged bodily Dosha or Doshas of the nature
involved in the case.
A
2-4.
slight
hurt in
the eye
may
be instantaneously relieved by the application of warm

breath-fomentation.
Prognosis
Any ulceration
may
difficulty,
restricted
to
;
Patala (coat) only of the eye
be easily cured
one an
ulcer invading two Patalas of the organ
may
be healed
only with the greatest

ing
three
while the one affect-
Patalas
should
be
regarded as incurable.
Chap. XIX.
UTTARA-TANTRAM.
in
103
cases of
Palliative measures are all that are possible

looseness,
dislocation,
sunkenness
and the
thiashed
condition (Pichchita) of the eyes as well as in a case of

Hata-drishti
(loss
of
eye-sight).
Cases of wrong or
dilation of the pupil,
erroneous vision,
marked by the
in its
absence of any considerable redness and those cases
where the eye

affected
in
(eye-ball)
is
proper place and

prove
is
not
to,
its
power of vision
5-6.
amenable
medical treatment.
sunken eye
may
be uplifted either by holding the
breath (Prana-vayu) or by inducing vomiting or sneezing, or
by
throttling or obstructing the wind-pipe.
the eyes would be found to be hanging

sockets,
Where down from the

before*
the measures and remedies prescribed

to,
should be resorted
and the patient should be made

nostrils)
7,
to take in long breaths of air (through the
and
cold water should be poured
on
his head.
Symptoms and treatment of Kukunaka

Vayu,
in (the
is
The seventy-six kinds of

Kapha and
as
eye-diseases
herein
infants,
mentioned before, occur to adults as well as to
but a peculiar disease, due to the action of deranged

Pitta,
blood, sometimes manifests itself
inner lining of) the eye-lids of an infant and this
known
Kukunaka.
Its
exciting cause
is
the
In
vitiated condition of the breast-milk of the mother.

this disease, there is excessive itching in the eyes,
and the
his
child frequently rubs his eyes, nose

fist
;
and forehead with
there
is
constant lachrymation and the child cannot
bear the least light of sun's rays.
The orgkn
should, in
such cases, be speedily bled (by applying leeches) and be

scraped (with rough leaves).
The organ should
further
be rubbed with
Tri-katu
and honey pasted together.
* Sec Chiktt-ita-sthana, Chapter II, Pata 29.
104
[Chap. XlJi.
The mother (or the nurse) should also be treated in the manner prescribed before (in cases of an affection of the Compounds of Saindhava salt, honey breast-milk).
and powdered Khara-manjari (Apamarga) seeds, as well as those of powdered Pippali, Saindaava-sa.lt and honey
with the vehicle of breast-milk should be given to the
child for emetic purposes, but this should be discontinued
as soon as vomiting would set
in.
8-10.
To
a child
who
takes
both breast-milk and other
solid food, the
emetic should be administered with the

(i.e.,
admixture of Vachd, and to a much older child
one
who
has given up taking breast-milk) the emetic should
be given with the admixture of
Madana
fruit.
1 1.
Decoction of the tender leaves of Jambu, Antra and Amalaki should be used for washing and sprinkling Clarified butter duly cooked with Tri-phald purposes.
or with Guduchi should be
dropped into the eye as an
As'chyotana measure.
12.
Anjanas composed of Manah-s'ld, Maricha, S'amkka

(conch-shell),
Ras&njana
and Saindhava pounded
to-
gether and pasted with honey and treacle should be

applied to the affected organ.
Compounds
also
of
Murvd,
honey and powdered copper should

Anjana.
(steel), clarified
be used as
black iron
The compound prepared by burning

butter,
milk and honey mixed together
should be similarly used as an Anjana.

tive,
As an
alterna-
the
GutiMnjana made up
Yashti-madhu,
of
Trikatu,
Paldndu
(onion),
Saindhava,
Ldkshd
(lac)
and
Gairika (earth) pasted together, should be used.
The
Anjana made of Nimba-X eaves, Yashti-madhu, Ddrvi, *

*
"Ddrvf
generally
means Ddru-haridrd
it
ofVideha, Dallana takes

Haridri and Da! ru-haridrA.
to
mean
the
; but, here, on the authority two kinds of flaridri, viz.,
Chap. XIX.
UTTARA-TANTRAM.
I05
copper (powdered) and Lodhra taken in equal parts
and
pounded together, is also efficatious. 13. An Anjana prepared with Rasdnjana (Antimony),
S'amkha,
period
curd and
Saindhava
child in
kept
together for a
of half a fortnight, *
should
cases
be applied to the
of Sukra,
affected organ of the
and the
directions given under the
head of Kaphaja-Abhishyanda should also be followed by experienced physicians in

14.
is
such cases of the eye-disease of children.
Conclusion
incomprehensible
described even
in
The
the
Science of medicine
ocean.
It
as
as
cannot be
fully
verses.
hundreds and thousands of

are
fail
Dull
people
who
incapable of catching the real

to acquire
if
import of the Science of reasoning would

a proper insight into the
Science of medicine
dealt
occult
with elaborately in
thousands of verses.
The
principles (of the Science
of medicine), as explained in
these pages, would, therefore, sprout and
grow and bear

(medical)
occult
good fruits only under the congenial heat of a (medical)

genius.
learned
and experienced
to understand the
man
would therefore try

to other Sciences.
principles
herein inculcated with

1 5.
due caution and with reference
Thus ends the nineteenth chapter of the Uttara-Tantra

Samhita which deals with the medical treatment
of hurt or injury to the eye.
to
in the Sus'ruta
be adopted in cases
The method of preparing

is
first
this
Anjana, as explained
by Dallana
on the authority of Videha,

Saindhava should be
days and a half and
to the eye as
S'amkha (conch-shell) and pasted together with curd'(Dadhi) and then a

as
follows:
quantity of Rasdnjana should be soalced
with
this preparation
for
seven
Varti
should then be prepared therewith and applied
an Anjana.
CHAPTER XX.
Now we
the ear
shall discourse
on the chapter which

hearing
treats
of the causes
and symptoms of the diseases peculiar

organ
of
to
the
(Kama-gatadifferent forms
Roga-Vijna'niya). i. Classification :Twenty-eight

of ear-diseases arc noticed
(ear-ache),
in
practice, vis.,
Karna-Sula
the
ear),
Pra-nada (ringing
(deafness),
or noise
in
Vadhirya
of pus,
car),
Kshvcda, Karna-Srava (discharge

ear),
etc.,
from the
the two
Karna-Kandu
(itching
in the
ears),
Karna-gutha, Krimi-karna
kinds
(vermin-infested
Prati-naha,
of Vidradhi (local abscess),

ear),
Karna-paka (suppuration of
the
ear),
Puti-karna (fetor in
or polypuses
in the
four kinds of Ars'as (Cysts
car),
seven kinds of Arvuda (tumour) and four kinds of

(swelling).
Sopha
Symptoms
na'da
ear and
local
:
of Karna-ula
aching pain
in
and Pra
of the
The violent
inside the
the region
tympanum
caused by the deranged

obstructed
Vayu,
aggravated and
by the other
deranged Doshas
(ear-ache).
in the locality is called the
Kama-Sala
in the ear
Ringing and various other sounds
are heard
into the
when
the deranged
Vayu
of the locality
stuffed in
gets
wrong way and remains there

3-4.
the
is
sound-carrying channels of the organ.

called the Pra-nrida.
This disease
Symptoms
da SVa'dhirya
nuance
local
of Va'dhiryaand Kshveresults
(deafness)
from
the
conti-
in the sound-carrying
channels of the deranged
Vayu in combination with the deranged local Kapha in those localites without anyway being remedied
or subdued.
An
attack of
Karna-kshveda (expresing a
Chap. XX.
UTTARA-TANTRAM.
the ear)
10?
peculiar sound in
may
be attributed to such
causes, as to the use of
cold
after
any cold thing or exposure to being treated with a head-purging remedy

continuance
of the deranged local
(errhines), or to the
Vayu
labour,
in
the sound-passage, aggravated

in
by any wasting process

5-6.
by excessive the system or by
taking articles of fare of astringent taste or of parching
(Ruksha) property.*
Symptoms
Karna-kandU
:
of
Any
owing
Karna-Srava
discharge
a blow
and
of
or secretion
pus from the ear caused by the deranged bodily

stuffing the ear-cavity,
Vayu
to
on the head or
a long immersion in water or a spontaneous suppuration
(and bursting) of an abscess in the inner ear,
is
called
in
Karna-sraVa.
The
excessive itching
sensation
the
ear due to the aggravation of the local
Kapha
is
called
Karna-kandu.
7-8.
Symptoms of Kai*na-Pl*ati-na'ha
in the ear dried
Any mucous accumulation

local
;
Karna-gutha and
when the
of
and hardened by the heat of the

in
Pitta
lation
is
called
Karna-gutha
cases
dried accumu-
of the ear
Karna-gutha becomes
called
liquefied,
(and comes out through) the cavity of the
nose
-f
and
produces head-disease
9-10.
in the
J it is
Kamathat
in the
Prati-niha.
*
Tha
difference
"Kama-n&la" and "Kshveda"

is
it is
is
former the sound in the ear

is
produced by the deranged Vayu alone and

of a special kind, vie., that
Pitta,
of various kinds, whereas, in the latter
of a wind-pipe
the exciting cause

"^rtfMrej" to
being the deranged'Jocal
and blood.
t
Videha.
explain
Kapha
the
Some
mean
the cavity of the nose and of
mouth.
t In place of "firT^rrrfHWTT:" (producer of head'disease) Maclhava

in his
Nidana
reads
'Inoats^SsStff
>'
producer of the head-
disease
known
as Ardha-vedhaka (fee chapter
XXV).
toS
tHE SUSHRUTA SAMHITX.
Chap. Xtf.
Symptoms
Karna-Vfdradhi
other local parasites in
pletely
of
:
Krimi-karna
cavities
and
comcalled
Germination of
vermins or of
ear
is
the
of the
impairs the faculty of hearing
and
Krimi-kirna from the existence of worms in the ear. Any abscess caused by any local ulcer or by a blow,
as well
as
any idiopathic abscess

as
in
It
the
is
cavity of the
marked by a choked and burning sensation, and piercing and sucking pain, and it secretes red, yellow or reddish bloody
ear
is
known
Karna-vidrathi-
discharges.
11-12.
Symptoms of Karna-paka and Putikarna, etc.

(in
:
A process of suppuration
is
setting in
any of these
boils) in the car
through the aggravated
condition of the deranged Pitta
marked by a blocked
ear.
and putrid condition of the passage of the

disease
is
The
ear).
called
Kama-pika* (suppuration
is
of the
discharge of condensed and fetid pus whether accomset
panied or not with pain
up by the
local
mucous
This
accumulation
liquefied
in
the
passage of the ear having been

Pitta.
by the heat of the aggravated

is
disease
called
Puti-karna (pus
in
the ear).
The
symptoms
described
of swelling (Sopha),
tumours (Arvuda) and

as
polypoid growths (Arsas) * in general

before should
to
have been
be
carefully understood
by an
these
experinced physicain
be
the
symptoms
13-15.
of
diseases in the region of the ear.

Thus ends
the twentieth chapter of the the
Uttara-Tantra in the
Sus'rutft
Samhita which deals with

peculiar to the ear.
causes
and symptoms of the diseases
* See
chapter VI,
XVIII and XXIII,
Chikitsita-Sthana.
CHAPTER
Now we
car
shall discourse
XXI.
treats
of the medical treatment of the diseases peculiar to the
(Karna-gata Roga-Pratishedha). i. General treatment '.Potions of clarified

meal),
all
butter (after
use
of Rasayana-measures,*
of
re-
nunciation
of
sorts
physical
exercise,
baths
without immerging the head, absolute sexual abstinence
and abstinence
from
talkativeness
are
the
general
remedies and rules to be prescribed in the affections of the ear in general. 2.
Treatment of the Vataja Ear-diseases

: The course of medical treatment to be pursued in the four forms of the ear-diseases (all due to
the action of Vayu) vie, Karna-s'ula, Prana'da, Va'dhirya
and Karna-kshveda is the same and is as follows, Sneha should be first administered (both internally and externally) and the patient purged with emulsive purgatives after which the affected locality should be fomented
with Vayu-subduing drugs administered
of Na'di-sveda or Pinda-sveda.
3.
in
the
manner
case of Karna-s'ula (ear-ache), due to the concerted
action of the deranged

yield to
Vayu and Kapha
of the locality
the application of fomentation to the affected

S'igru, Ajagandhd,
part with (the fumes of) Vilva, Eranda-roois, Arka, Var-
shdbhu, Kapittha, Dhustura,
As'va-
gandhd, Jayanti, barley and bamboo, boiled in Arandla (fermented rice-gruel) and administered in the manner of Nadi-sveda (fomentation through a pipe). An attack
of Karna-s'ula (ear-ache) yieds
* In place
of
to
the
application
of
"Rasayana"
(use
of tonic)
some read "Raoas'anam"
(use of meat-soup with meal).
110
Pinda-sveda
THE SUSHRUTA
made with
4-5.
SAMHITA*.
of boiled
Chap.
XXL
fish,
pieces
flesh
of
cock or Lava (jointly or severally), or with (balls of
condensed) milk.
A
it
bowl-shaped cup should be

in
oil
made
of the leaves
of the As'vattha soaked
and Dadhi-mastu* and
should be heated by means of charcoal-fire.
The
oil,
thus heated and
made
to
drop into the affected organ,

a case of ear-ache.
gives instantaneous relief in

affected organ should be
The
fumigated with the fumes of
burning pieces of Kshautna (linen cloth) as well as

with
clarified butter,
Aguru and Guggulu mixed

well
together.
Draughts of
clarified butter as
as
the application
6-7.
of Jiiiro-vasti after meal arc also found beneficial.
rice diet
should be foregone in the night, and
draughts of
clarified butter followed

its
by potions of milk
Vala-Tailai"
as well
also be
crrhine,
It
should be taken in
stead.
The Sata-paka
should also be prescribed as Siro-vasti,

as Mastikya-Sirovasti
and sprinkling.
first
may
given internally.
Goat's milk
cooked with Kantathe

of
kdri
(in
the
manner
cock
of Kshira-paka) and then with

is
fat (Vasa) of a
extremely efficacious
8 -9.
(in
cases
ear-ache)
if
used as an ear-drop.
The
four kinds of
Sneha
(oil,
clarified-butter,
lard
and animal marrow) duly cooked together with the Kalka of Tanduliyaka, Amkota fruits, Ahimsrd, Kendrakdroots, Sarala, Deva-Ddru, Las'una (garlic), S'untki and
the scrapings of bamboo-skin and with the liquids of acidj
* "Mastu" (curd-cream)
is
mentioned neither
by
Vrinda nor by
be used
Chakrapani.
According
to Videha's recipe, clarified butter should

Pitta.
in place of oil in cases of the aggravation of the
t For "Vala-Taila" See chapter XV, Chikitsita Sthana.
t The
liquid acids here
are
Dadhi,
Takra,
Surd,
Chukra
(a
kind
of Kanjika) and the expressed juice of M&tulunga.
Chap.
XXL]
UTTARA-TANTRAM.
Ill
taste (instead of water)
should be used as an ear-drop

10.
in
order to alleviate the aching pain therein.
The expressed juice of Las'una, S'igru, Ardraka, Murangi, Mulaka and (branch of) Kadali jointly or
severally poured
acts as
lukewarm into the cavity of the organ

(in case of acute ear-ache).
an excellent ear-drop
As an alternative, the expressed juice of S'ringa-vera mixed with honey, Saindhava, and oil should be used
lukewarm as an ear-drop
Clarified
to
alleviate the
pain therein.
butter*
duly cooked with the scrapings of
bamboo-skin and the urine of a ewe and of a she-goatf*

should also be used as an ear-drop in
ache.
11-13.
cases of ear-
Dipika-Taila : Pieces
major Panctia-mula
length should
of
the
roots
of the
in
measuring
eighteen
fingures to
be covered (extending only

a piece
so
in
three-
fourths of the whole) with
of linen
and then
soaked
lighted
in
oil.
The
oil
stick
formed, should then be
and the
pouring
drops therefrom should

It
be used lukewarm (as an car-drop).
instantaneously
removes the pain, and
is
know n
as the Dipiktt-Taila.
Different kinds of Dipika-Taila
may
be likewise pre-
pared with pieces of Diva-ddru,Kushtha or Sarala wood,
and used
in
the
same manner
in cases of ear-ache. 14-15.
Tender sprouts of Arka plants pasted with Kdnjika (Amla) should be mixed with oil and salt. The paste
thus prepared should be placed inside the
in a
hollow
made
branch of Snuhi tree and wrapped up with the
Both
"Savpih"
Vtinda and
butter).
Chakrapani read
But
"Taila"
(oil)
in
place
of
(clarified
we have
the authority
of Videha (as
in favour of
quoted by S'rikantha Datta in his commentary

clarified butter.
(
on Vrinda)
Clarified butter should first
be cooked with the urine of a ewe
ant}
then with that of a she-goat.Dallana.
112
leaves of the
[Chap.
XXL
same plant. It should then be scorched The juice should in fire in the manner of Puta-paka. then be squeezed out of it and used lukewarm as an
ear-drop to alleviate the pain in the
ear.
16.
Different kinds of Ear-drops:The

and Ardraka mixed together and made lukewarm, or the lukewarm Chukra (a kind of Kanjika) should be used as ear-drops
in a case of ear-ache.
expressed juice of Kapittha, Mdtulunga
As an
alternative, the affected ear
should be judiciously dusted
with powdered Samudraeight kinds

as
phena
in
such a case.
of officinal urines
As an alternative, the made lukewarm and used

in
an
ear-
drop
may
prove efficacious
removing an ear-ache.
the curative
officinal
Similarly, a case
virtue of
of an ear-ache yields to
an car-drop, composed of the four
kinds of Sneha duly cooked with the different kinds of

officinal urine
and acids (wine,
sour-gruel,
17.
etc.,)
as well
as with the
Vayu-subduing drugs.
!
General and Specific treatment of

Pittaja Ear-ache
The above-mentioned mode

etc.)
of treatment (car-drops and fomentations,
with the
Pittaja-
Pitta-subduing drugs should
be
followed
in
Kama-Bula
(ear-ache).
The
use of the medicated Ghrita
duly cooked with milk weighing ten times as

Ghrita* duly
(bitter)
much and
Tikta
with the drugs of the Kdkolyddi group,- as well as the
cooked
with the
drugs
of the
in
group would be found beneficial

as
such cases.
cooked with the tender sprouts of

trees),
Kshira-vriksha (milk-exuding
well
as
with
Yaskti-mad/iu and Chandana wood, or that cooked with

the decoction of Vinibi with (the
Kalka
of) sugar, Yasthi-
* Dallana
says
that Jejjatacharya
holds
these
two
recipes
as
unauthoritative.
Chap.
XXL]
UTTARA-TANTRAM.
the purgative drugs would
18-20.
113
also
madhu and
beneficial.
be found
Treatment
sula : In
or Ingudi oil
will
of the
Kapha J a Karnaoil
if
cases of
Kaphaja-Karna-sula mustard
be found beneficial
used as an
ear-drop.
Decoctions (Yusha) of the drugs of the bitter
group, fomentation (Sveda) with Kapha-subduing drugs,

as well as the
oil
cooked with the drugs of the Surasddi,
or the major Pancha-mula group would

ficial.
be found bene-
The expressed
juice of
Mdtulunga, Las'una and

oil
Ardraka, as well as S'ukta, or the

of
cooked with any

in
them should be used as ear-drops

likewise,
such cases.
The
is,
use of strong head-purgatives (errhines), or of gurgles
recommended
in
such cases.
in
21-24.
The
just the
s'ula.
medical
treatment
the
case
of
ear-ache
due to the vitiated condition of the blood should be
fame as that
in
case
of a
Pittaja
Karnacourse
in
25
outline of the
Thus we have given a general

of treatment
and remedial measures to be adopted

of ear-affections,
viz.,
the four kinds

ache), Pra-nada,
shall
Karna-s'ula
(ear-
Vadhirya and Karna-kshveda.

be employed
in
Now we
deafness
deal with the special recipes and preparations

cases
of ear-drops to
of
(Va'dhirya).
26.
oil
Treatment of deafness :The

cooked with water, milk and
of deafness.
urine (as Kalka) should be used as an ear-drop
duly
cow's
cases
,-
Vilva pasted with

in
Oil
should be
first
cooked with goat's

with sugar and
milk or the decoction of Vimbi

Yashti-
fruit
cooled
madhu and Vimbi fruit (as Kalka). When down (it should be churned with the hand
portion) should
in
and) the Sneha (oily
be
separated. of
This oily part, after being stirred
the decoction
15
114
THE.
SUSHRUTA SAMHITX.
[Chap. XXI.
Vilva* should again be cooked with milk weighing ten

times and with (the Kalka
(red) sandal
of) sugar,
Yashti-madhu and
be thickened and
wood.
It
should then
cases
used as an ear-drop in
of deafneSB.
in
Measures
connection
and remedies, which

with
cribed
Pratis'yaya-jin
will
be mentioned
(catarrh)
or have been already deJ
the chapter on Vata-Vyadhi
Chikits.4
may
be
as
well
employed with benefit
in
the
present
instances.
27-30.
Treatment of Puti-karna, KarnasraVa and Krlml-karna :The general mode

of treatment to be
employed
is
in
cases of Karna-srava,
Puti-karna and Krimi-karna
the
same as above.
filling
Now
here (me describe) the general
mode
of treatment to be
employed
in
them.
Errhines, fumigating,
up the
cavity of the ear (as with
an ear-drop), cleansing and

be washed with
washing should be employed according to the exigencies

of each case.
The
affected ear should
the decoction of the drugs of the Rdjaorikshddi or the
Surasddi group and

drugs.
filled
with the powders of those
In a
case
of Kama-Sra'va, the cavity of the
affected organ should be filled in with the
powders (D.
31-32.
R".
decoction) of the Pancha-Kashdya
drugs mixed
with
honey and the expressed
juice of Kapittha,
* In
place of "Vilvambu-gadhatn" some read "Vimbi-gjldham"

fruit.
,i.
mixed with an abundant quantity of powdered Vimbi

t Chap.
.
Dallana.
the
XXIV,
to
Uttara-Tantra.
t Chapter
V and
VI, Chikilsita-Sthrfna.
According
some,
"Pancha-Kashaya"
of
means
barks
of but
JL'ragdadha,
S'irhha,
Jambu,<Sarja and
Asvamdra
(Palas'a),
Dallana, on the authority of the authors of the Tika and the Panjikd, (the two commentaries) refutes this and holds that "Pancha-kashaya"
means
the barks of Tinduka, Abkayd, Lodhra,

in this chapter.
Samanga' and of 4'malafto
enumerated below
Chap.
XX I.
UTTARA-TANTRAM.
I j
The
mended
sisting
use of the
powders of Sarfa-ba.ik mixed with

juice of the
honey and expressed

in
Kdrpdsi
fruit is
recom-
Kama-Sraiva. of pulverised Ldkshd and

cases of
filling
compound con-
Sarja-rasa (D. R.
Rasanj&na) should be used in

affected organ in the said
up the cavity of the
disease.
The
oil
duly cooked
with the tender sprouts of S'aivdla, Mahd-triksha, Jambu
and of Antra, as well as with Karkata-S' ringi honey and Manduki is highly efficacious in these cases.
Powders of the barks of

Santavgd and of
the
used.
Tinduka, Abhayd, Rodhra,
Amalaka
of
mixed
with honey* and

should be similarly
expressed juice
33-36.
Kafittha
The expressed juice of Antra, Kapittha, Madhuka flower, Dhava and of S'dla, or an oil duly cooked with these is likswise recommended as ear-drops in these cases. The oil cooked with Priyangu, Yashti-madhu,
Ambdlikd, Dhdtaki,
S'ita-pami,
Manjislithd,
Lodhra,
juice
and Ldkshd
ear-drop,
(as Kalka),
and with the expressed

if
of
the sprouts of Kapittha as the liquid,

arrests
used
as
an
the secretion
in
a case of Karna-
sraVa.
37-38.
Treatment of Puti-karna
rubbed and dissolved
in the breast-milk
\Rasdnjana
and longdis-
and mixed with
honey proves highly

standing cases
charge.
of
oil,
efficacious even in chronic
of Puti-karna
attended with fetid
The
use as ear-drops of the
the expressed juice of
compound composed Ntrgundt and honey mixed

39-40.
together arrests an attack of Puti-karna.
Treatment of Krlmi-karna:Vermifuges should be employed for the treatment of a

* S'rikantha
case
Datta in his commentary on Vtinda quotes
this
couplet
i
hut does not read 'honey' there.
He
reads
"nqr*
in place of '"fro"
ltd

Fumigation*
(into
Chap.
XX t.
Krimi-karna.
of
the
affected
parts
with the fumes of (dried) Vdrtdku, or (the pouring of)
mustard
is
oil
the
cavity of the
affected
organ)
also beneficial in such cases.
Vidatiga
and Haritdla
(yellow
as
orpiment) mixed with
cow's
urine (and used
an ear-drop) as well as
fumigating the affected

Administraare
also
organ with the fumes of (burnt) Guggulu tends to destroy

the fetor in the ear due to local parasites.
tion of emetics,
smoke-inhalation and gurgles

41-42.
beneficial in such cases.
Treatment of Karna-Kshveda, Vidradhi, etc.

is
:
Use of mustard
oil
as
an ear-drop
efficacious in cases of
Kama-kshvedaf
An abscess
(Vidradhi) in the ear should be treated as an ordinary abscess. TheafFected ear should be sufficiently fomented
after being filled in with oil
so
as
to soften the filthy
deposit in
the cavity of the ear, after which the filthy

director
matter should be extracted with a probe or a

(galaka).
43-45.
Treatment
with the help of a
emetics,
of
Karna-kandu and
of the
karna-pratina'ha: Fumigation
pans
tube (Nidi-BVeda), exhibitions of
smoke-inhalations, head-purging (errhines), as
well as all kinds of
Kapha-subduing measures should be

of
Karna-kandu. Sneha and of Sveda and then of

resorted to in
cases
(errhines) should be
Application of
head-purgatives
made
in cases of
Karna-pratinalia,
Dallana explains this
to
mean fumigation
of the affected
organ,
at *ell as the use of the
same in the manner of smoking.

recqmrnended in cases of abscess in the
oil
The
use of
oil
is also
ear.
la cases of acute and painful Vataja Vidradhi scsamum

whereas in
-eases
should be used,
of
Kaphaja Vidradhi
the
use
of
mustard
oil
is
recommended.
Dallana.
Chap.
XXL
UTTARA-TANTRAM.
\\j
and the treatment thereafter should conform to the nature of the specific deranged Dosha of the body
involved fn the case.
46-47.
Treatment
profit
in a case of
ear).
of
Karna-pa'ka, etc. :
in
Remedies and remedial measures described

with Pittaja Visarpa*
tion of the
connection
be with equal Karna-psfea (inflammatory suppuraused

filth
should
Any
or vermin,
etc.,
lodged in
the cavity of the car should be removed with the help of

a probe, or (by cutting
it)
with a hom.
in
Cures for the

Chapters
remaining cases of affections

described before
(
the ear have been
in
the
Chikitsita-sth&na,
48-50.
XVIII, VI and XXIII).

Thus,
Sus'ruta
liar to
ends
the
twenty-first
chapter of
the
Ultara-Tantra
in
the
Samhita which' deals with the treatment of the diseases pecu-
the car.
In
place of 'Pittaja-Visarpa',
both VrinJa and Chakradatta read
'Kshataja-Visarpa'.
CHAPTER
Now we
shall discourse
XXII.
with the causes and symptoms of diseases of the nose
(Na'sa'-gata-roga-ViJna'nlya). i. Nomenclature and Classification :

Diseases which are specifically found to affect the organ
of smell
groups,
may
be
classified
into Thirty-one
different
viz.,
Apinasa, Puti-nasya, Nasa-paka.
Sonita-
Pitta,Puya-s'onita,
Kshavathu, Bhrams'athu, Dipta, Nasa-
naha, Pari-srava, Nasa-s'osha, the four kinds of Ars'as

(polypoids), the four kinds of swelling, the seven types
of tumours
will
and the
five
types
of Prati-s'yaya
which
to be
be described hereafter with the specific treatment
of each.
Thus the
all.
diseases of the nose are said
thirty-one in
2.
Symptoms
sya
*
of
Apinasa and Puti-naburning

sensation
in
Chokedness
and
taste for
and
the
nostrils
attended with dryness and deposit of filthy slimy

thereby deadening the faculty
are
in
(
mucus
in their passages,
of smell
the time being;

(
the specific
indications
of Apinasa,
obstructions
the nostrils
of the
which are
type)
identical with
the
symptoms
It
is
same
the
of Pratis'yaya
(catarrh).
due
to
concerted action of the deranged Vayu and Kapha. The disease in which the fetid breath is emitted through the mouth and the nostrils owing to the presence of the deranged Vayu mixed up with the other Doshas ( Pitta, Kapha and blood ) in the throat and about the root of
the palate
is
called Puti-nasya.
3-4.
Symptoms
Pitta
of Nasa'-pa'ka,
Rakta
the
and Puya-rakta : A
purulent inflam-
mation and the presence
of pimples (Arush) in
Chap. XXII.
j
UTTARA-TANTRAM.
JI9
nostrils
owing to the
vitiated condition of the local Pitta

is
(
attended with sliminess and foetid odor

prfka..
called
N&4-
The
four kinds of Rakta-Pitta
haemorrhages)
with the two different origins and two different courses

will
be dealt with again later on.*
The
is
disease in
which
bloody or blood-streaked
pus
discharged through
the nostrils either as the effect of a blow on the region

of the fore-head or through the highly heated
condition
of the local blood, Pitta and

(
Kapha
is
called
Fuya-rskta
bloody pus
).
5-7.
Symptoms Of KShavathll
in
which
the
: The disease Vayu charged with Kapha repeatedly

nasal
gushes out of the nostrils accompained by loud reports

or sounds, owing to the fact of the
Marma
being
anywise
affected,
is
called
Kshavathu
(sneezing).f
trickling sensation in the
gristle of the
etc.,
nose owing to
the insertion of a thread,

action of
into the nostrils, or to the

articles
any strong (Tikshna)

smell, or
8 -9.
of fare, or of
any pungent
sneezing.
of looking
to
the sun causes
Symptoms
Dipta
:
of
disease
Bhramsathu
in
The
and
or
which
head
its
the
deranged
previously
undigested
thickened
and
saline
Kapha
Is
accumulated
in the region of the
dissolved
disintegrated and dislodged from
seat
through the
heat of Pitta and

nostrils
is
is
expelled (sneezed off) through the
called
Bhram
due
athu.
The
affection in
which
The
four kinds are
to vitiated
Vayu, Pitta and Kapha as well

are
(<$}
as their concerted action.

liver, or (&)
The two
origins
the spleen
and the
the Amas'aya (stomach) and the Pakvas'aya

are (0) the upper and the
(2)
is
(intestines).
The
two courses
the nostrils.
lower
orifice, or (i) the
mouth and
The
sneezing
here said to be of two kinds (1) Doshaja and (2) trauis
matic.
U;re
the former
Doshaja, while the latter
is
of traumatic origin.
*20

warm
[Chap. XXII.
the Vayu, in the shape of
vapour-like breaths,
comes out of the
nostrils
in
burning sensation
accompanied by an excessive the locality is called Dipta. io-n

Na'sa'-
Symptoms of Na'sa'-Pratina'ha,
parisraVa and
of the region
Na'sa'-Parisosha :The
up-coarsing
is
condition under ,which the
Udana Vayu
its
of the head of
deranged in
passage
the
by a
surcharge
Kapha,
is
is
seems
to
stuff
passages of the nostrils, and
called Nisi-PratinaTia.
The
disease
in
which there
constant, transparent,
secretion
(of
slightly
discoloured
nostrils,
water-like
Kapha)
is
through the
more
particularly at night,
Difficulty
called
Nrfsrf-Parisrdva (fluent coryza).

ting (inhaling
of respira-
and exhaling) caused by the drying up and consequent thickening of the Kapha (mucus) accumulating
in the
passages of the nostrils, through the
Vayu and
Pitta, is
).
called Nrfstf-
Paridosha (parchedness of the nostrils Local Ars'as (polypoids) as well as

each)
are
12-14.
local
Sopha
(four
due
to
the action
of the three
deranged
differ-
ent kinds of
Doshas of the locality jointly and separately. The Arvuda (nasal tumour) as mentioned
all.
in the
Salakya-Tantra, with the one of Sannipatika origin are

seven in
The
five
types of Pratis'yaya (catarrh)

in
mentioned here
will
be dealt with
chapter
XXIV.
Remarks made in the chapter on the causes and symptoms of swellings in general (Sopha-Vijnana),
as well as
those of Ars'as (hemorrhoid growths) in the
Nidana-sthana should be understood to apply to those

diseases affecting the locality of the nose as well. 15-18.
Thus ends
Sus'ruta
the
twenty-second chapter in the Uttara-Tantra
of the
of
Samhiti which deals with the causes and symptoms
the
diseases of the nose.
CHAPTER
Now we
shall discourse
XXIII.
with the therapeutics of nasal diseases
(Nasa-gata**
Roga-Pratishedha).
i.
Treatment of Apinasa and Putinasya

Apinasa)
of
In cases of the
in
first-mentioned disease
(i.e.
and
those of
Puti-nasya,
the
applications
part,
Sneha and of
diet should
Sveda
to
affected
and
application
of emetics
and purgatives should be made.

in
The The
use,
be light and moderate

drinking should
be
quantity.
water
for
boiled
before
and inhalation of
indulged
in
at
smoke (Dhuma-pana) should

proper time. Hingu,
Tri-
be
the
katu, Indra- Yava,
S'ivdti*,
Ldkshd, Katpftala,
Vacfia,
Kushtha,
S'obhdnjana,
Vidanga, and Karanja
should
be used daily with benefit in the manner of Avapida-
Nasya.
Mustard
oil
should be duly cooked with the

as
aforesaid drugs together with cow's urine and be used
an errhine (Nasya).
2-3.
Treatment of Nasa-paka,
for internal
etc. : In
cases of Na'sa'-pa'ka, all the Pitta-subduing measures both
and external use should be duly employed.

should be duly employed as wash and
local
Barks of the Kshiri (milk-exuding) trees mixed with

clarified butter
plaster after a
bleeding.
The medical treatment

be
dis-
of Sonita-pitta (Haemorrhaege) from the nose shall
hereafterf
described.
case
of
)
Puya-Rakta
charge of bloody pus from the nose
should be treated
* S'ivdti
may mean
either white
it
Punarnavd
or Sdfkdliki.
Neither
Chakrapani nor Vrinda reads

t See ch.
in the text,
XLIV
of the Utfara-Tantra.
122
as a case

of sinus (Nidi) *
for
all
[Chap. XXIII.
practical purposes,
and Avapida-nasya as well as inhalations of smoke
(Dhuma) of keen-potencied drugs and Nasya

efrhines)
(snuff or
of drugs of correcting
or
purifying virtues
exhibition
should be
emetics.
used after the satisfactory

4-5.
of
Treatment
S'athll
:
of
Kshavatu and Bhramof head-purgaing drugs

in
Powders
in
the
form of snuff should be administered into

through a pipe
rfathu.
the nostrils
cases
of
Kshavathu and BhramSneha-Dhumaf

to.
The head
similar
should be duly fomented with Vayuinhalation of

as
subduing
well as
drugs and
other medicinal
measures remedial to
All
in
the deranged bodily the
Vayu
all
should be resorted
Pitta-subduing
measures should be employed
a case of Dipta, and
cooling remedies and the drugs

6-7.
of sweet taste should also be prescribed.
Treatment of
internal use of
Na'sa'-na'ha, etc. :The

fumigations
Sneha (Sneha-pana) forms the principal

of Nffatt-ntfha, in which
remedy
in a case
with lardacious drugs as well as head-purgings

likewise employed.
may
be
The
use of Bala-Taila or
in
any other
Vayu-subduing remedy mentioned
the chapter on
the treatment of Vata-vyadhi (Ch. V. Chikitsita Sthana)
may
dered
be similarly
snuff should
used with beneficial
results.
Pow-
be introduced
into
the nostrils
through a pipe or tube, and strong and keen Avapida-
Nasya should be used

fumes of (burnt)
applied to the
in
cases of Nisri-SraVa.
Strong
Deva-ddru and Chitraka should be

affected
part.
Goat's
8-9.
flesh
is
also
found beneficial in such cases.
See ch.
XIV
of the Chikitsita-StMna.
t See ch.
XVII
of the Chikitsita-Sthana,
Chap. XXIII.]
UTTARA-TANTRAM.
ti.3
Treatment of Na'sa'-ôsha :The -use of

clarified butter
churned out of milk, as well as that

errhine
of the
oil
as an
prepared in the manner of

a
case
Anu-taila are pre-eminently the best cures in

of Nastf-Sosha.
Potions of clarified butter, meals with
Jangala meat-soup, applications of Sneha and of Sveda,
and fumigating the
affected
part with lardacious drugs
may
be similarly prescribed with best advantage.
The
remaining nasal diseases should be duly treated according to the specific treatment of each case as described
before,
io-ii.
Thus ends
the twenty-third chapter of the Uttara-Tantra in the Sus'ruta
Samhitd which deals with the treatment of the diseases of the nose.
CHAPTER XXtV.
Now we
shall discourse
with the (symptoms and) medical treatment of catarrh
(Pratlsysfya-Pratishedha).
i.
Causes
course,
particles
Excessive
of
or
indulgence in sexual
inter-
heating
of dust
the head, entrance of the minute
smoke
into the
nostrils, excessive
application of cold or heat, voluntary retention of stool
and urine are the causas which
may
instantly
usher in
an attack of nasal catarrh (Pratis'yaya). The fundamental

principles
of Vayu,
Pitta
and
Kapha,
jointly
and
separately, as well as of blood
becoming aggravated by
on an attack of nasal
various aggravating
causes, bring
.
catarrh in course of time
2-3,
of
Premonitary Symptoms : Heaviness

of
goose-flesh
the head, sneezing and aching in the limbs, appearance
upon
the body, as well
as
many
4.
other
to
different
kinds of supervening
symptoms are seen
precede an attack of nasal catarrh (Pratis'yaya).
Specific
Symptoms: Hoarseness of
in
voice,
a sense of stuffedness and obstruction
the nostrils
of the
accompanied by a thin mucous

throat, of the palate
secretion, dryness
lips,
and of the
a -pricking, and pierc-
ing pain in the region of the temples, as well as excessive
sneezing and a bad taste in the

istics
mouth
are the character-
of Vrftaja type of catarrh (Pratis'yaya).
hot
and yellowish secretion from the nose, heated

as the secretion being
skin, thirst,
emaciation and yellowness of the complexion, as well

sudden, hot and
smoky
these
of
are the characteristics which

catarrh.
mark the Pittaja type
Constant running at the nose, the secretion being
white and cold, paleness (of the skin) and swelling (D. R.
Chp.
XXIV.]
UTTARA-TANTRAM.
25
whiteness) of the eyes, heaviness of the head, flabbiness
of the face*
and
tickling
and
itching sensation in the
regions of the head, throat,
lips
and of the palate are

type of the
well
the features which

disease.
5-7.
mark the Kaphaja

as
The spontaneous disappearance,

appearance of
Pratis'yaya
as
re-
be
it
acute or chronic
is
the characteristic
symptom
8.
of Tri-doshaja Pratis'yaya,
all
wherein the specific symptoms of

of Apinasa are present.
(the three) kinds
Symptoms of Raktaja
a blow,
fetid smell in the
Pratisya'ya :
if
Discharge of blood (from the nose), redness of the eyes,

a bruised pain in the chest which seems as
struck with
breath and the mouth, and loss

are the characteristic symp-
of the faculty of smelling
toms of the Raktaja type of Pratis'yaya which has its origin in the deranged condition of the bloodIn
these cases
j
\
hosts of extremely small
worms
of whitish
loca-
or blackish
lities {vie.,
hue are found to
infest
the affected
the nostrils) which show
symptoms
identical
with those of the head-disease due to the

of parasites in that region.
9.
germination
Prognosis : The
disease (Dushta-Pratis'yaya)
malignant
nature
of
the
should be inferred from the
constant alternate sliminess and dryness, as well as constant alternate contraction
and expansion of the

'some
read
nostrils,
* In
i.e.
place of
"*rH3*
is
ft*!??'?',
"jtf^faTT
TC?
"the
man
(patient) gets
heaviness of the head."
In this case the
flabbiness of the face
not sepeialely mentioned.

this is the
t According to some
characteristic
symptom of another
kind of Pratis'yaya, and not one of the symptoms of the Raktaja type as
appears at the
first sight.
t Midhara Kar
f
'$TTT: WHIT:'
'
reads '^vx:
1%Wj'
'
>
glossy white in hue, in place
'
whitish and blackish in hue.
126

and
loss
[Chap.
XXIV.
fetour in the breath
of the faculty of smell.
Such a case of Pratis'yaya should be regarded as extremely

hard to cure.
Neglected and not properly remedied at
the outset of an attack,
any type of catarrh
(Pratis'yaya)
in
may
in its
bring on cases of malignant

rise
Pinasa, which
time gives
to
number
of diseases and produces

loss
train
deafness,
blindness,
of smell, violent
ocular affections, cough, dulness of appetite, and

(swelling),
Sopha
io-ii.
General Treatment of Pratisyaya :

Potions of clarified butter, various sorts of emetics, and
fomentations (Sveda)
(Pratisyaya), except
may be
in fresh
prescribed in nasal catarrh
and acute
cases.
Errhines
(Nasya) of Avapida type

time,
if
may
also
be employed in
required.
Fomentation should be applied and

state with
articles
diet should be taken in a tepid
of
acid taste, and draughts of milk should be
administered
with green ginger* and with any modification of the

expressed juice of sugar-cane-f for the purpose of thick-
ening and maturing the secreted mucus, in cases where

that maturing process has not already spontaneously
set in.
should
The mucus found matured, thick and pendent be made to secrete by applying head-purgatives
Purgatives, Vasti of the
(S'iro-vireka).
Asthapana kind,
of each case
smoke-inhalations and medicinal gurgles should also be

prescribed
according to the exigencies
under treatment and in consideration of the nature and

intensity of the deranged
Dosha involved
therein. 12-14.
Some
explain "A'rdraka" to
it
mean
the expressed juice of fresh ginger,
while others explain
to
l
mean
the
powder of dried ginger.
+ In place of " Tqtmi Mi tlr."

juice of sugar-cane, such
i.
w * th
n y modi6cation of the expressed

,
as treacle, sugar, etc

taste.
some read
"qrenj^ q tftl ;"
t,,
with articles of pungent
Chap.
XXIVO
UTTARA-TANTRAM.
27
Regimen of diet and conduct : In a

case of Pratisyaya the patient should
sit,
about
in closed
and windless roomshis head.
move and wear warm

lie,
or
and thick turban on

cooked
He
should take VijayA

of Paldnna*
(Haritaki) and partake of meals consisting
without clarified butter.
He
should also be
as
subjected to a course of strong head-purging as well

of smoke-inhalations.
cold baths,
tions,
Use of new wine and
cold drink,
sexual intercourse, anxious cares, lamenta-
voluntary retention of stools and urine, as well as
partaking of fares which are excessively dry (and beget

dryness in the system), should be foregone
suffering from an attack of Pinasa.
by a person
15-16.
Fastings and employment of digestive (Pachana) and

appetising (Dipaniya) remedies should be
the
medical
treatment
in cases of
Pinasa (nasal catarrh) accompanied
by such
distressing
symptoms
as
vomiting,
aching,
heaviness in the limbs, feverishness, non-relish for food,
apathy, and
Atisara (diarrhoea).
In
case of an
adult
person suffering from an attack of Pinasa

concerted action of
due to the
Vayu and Kapha,

in
the patient should
be made to vomit by taking

liquid
a large quantity of
any
in-
substance.
The
complications (Upadrava)
volved therein should be remedied by appropriate diet
and remedial
given before.
agents and after
their
subsidence,
the
patient should be
treated according to the instructions
17-18.
cases of
Treatment of VsCtaJa Type : in

ydtaja-Pratidyiya
the drugs of the
five
clarified
butter duly cooked
with
Vid&ri-gandk&di group or with the

should
officinal
salts
be prescribed
by cooking together
in
thii
for
rice,
internal
meat and
butter
* Palanna
is
generally prepared
clarified butter as well
as other spices, but
case
clarified
should not be used.
8
.
[Chap.
XXIV.
useâccbrding to the rules of taking Sneha (see chapter
XXXI., Chikitshita-Sthana).
etc.,
The
to,
if
process
of snuffing,
t
should also
be resorted
necessary, as
in
case of Ardita (Facial paralysis).
19.
Treatment of Pittaja and Raktaja

types
:
In
the
Pittaja and
should
Raktaja types
be given
(of
Pratis'yaya) the
patient
draughts*
cooked with the drugs of the Kdkolyddi group. Coldf washes and plasters should
of clarified butter duly
also be used.
Sarjarasa (Resin), Pattanga (red-sandal),
Priyangu, honey, sugar, Drdkshd, Madhulikd (Guduchi),

Goji,
S'ri-parni
gurgles,
and
Yashti-madku
should
?)
be
pres-
cribed as
and purgings (errhines
should be
induced with the help of the drugs of sweet potency

(such as Drdkshd, Aragbadha, honey,
sugar,
of)
etc.).
Oil
duly cooked with

Tri'phald,
(a
paste
Tilvaka,
composed
DAava-bavk,
S'ti-patni,
S'ydmd,
Yaskti-madhu,
Rajani, and with milk weighing ten

oil,
times as
much
as
should
be preserved for a time and

20.
used as an
errhine (Nasya) in either of these cases.
Treatment of Kaphaja Type : in

case of the Kaphaja-Pratis'ya'ya, emulsive
measures
(Sneha-karma) should be performed with
clarified butter,
and the
be made t vomit by using prepared (gruel) with MdsAa-pulse and Tila, Yava'gU (sesamum-seed), after which the general Kapha-subduing
patient should Oil
measure should be employed.

the two kinds
*
duly cooked with

kinds of
Brihati,
of Bald, the
place
two
Some
read
'ftpS;' in
of 'tfcif,'
This word means that the
clarified batter for use in this case
should be duly cooked with the j%^(
(bitter) drugs, viz., the leaves of Patola, etc.
t Both the commentators of Vrinda and
Chakradatta explain the
term ^rtfif (cold) to mean 'prepared with the drugs of Cold potency
such as the drugs of the Nyagrodhidi and Utfalidi groups.'
Chap. XXIV.]
UTTARA-TANTRAM.
129
Tri-kantaka, S'vetd-wots, Sahd (MudgaBhadrd (Gambhari) and Varshdbhu should be employed as an errhine. Sarald, Kinihi, Ddru, Nikumbha (Danti) and Ingudi should be pasted together and duly
Vidanga,
parni),
formed as Vartis.
for the purposes of
These Vartis should be duly used smoking (Dhuma-pana) 21-22.

the drugs of bitter
Treatment of Tri-doshaja Type :

Clarified butter duly prepared with
and
taste
pungent
tastes, inhalation
of the
smoke
of strong-
potencied drugs as well as the use of articles of pungent
and
other
appropriate
in a case of
medicinal
preparations
would prove curative

(nasal
all
Tri-3oshaja Pratis'yaya
catarrh)
brought about by the aggravation of
the three Doshas.
An
the
intelligent
physician should
oil
prescribe as an errhine the medicated
duly cooked
and
prepared
AtirvishA,
Rasdnjam, Musta and Bhadra-ddru. Gargles prepared

with
admixture
of
with the decoction of Musta,
Tejovati, Pdt/id,
Katphala,
Katuka, Vackd, Sarshapa (mustard), Pippali-mula, Pippali, Satndkava, Agnika (Ajamoda), Tuttha, Kara?t/asee6s,
Salt and Bliadra-ddru should be prescribed.
Oil duly
for
cooked with the preceding drugs
is
recommended
23-24.
purging (Siro-vireka) the head of the patient.

flowers
Flesh of birds and beasts of the Jangala group, aquatic
and the Vayu-subduing drugs (Bhadra-darvadi)
should be duly cooked in milk mixed with water weighing half as
much
as
the
milk. *
The
liquid
in
this
case should be reduced to the original quantity of milk,
when
it
should be taken
butter
down and allowed

be
to
cool.
prepared from this milk and should be agair duly cooked with the drugs
Clarified
should then
of the Sarvagandkd (Eladi) group, sugar, Anantd, YasktiSome
say that milk and water in equal parts should be taken.
17
130
[Chap. XXIV.
tnadku and (red) Chandana and with a quantity of milk

ten times
its
own weight.
All
types of nasal catarrh,
yield to the curative

if
efficacy
of this medicated Ghrita,
used as an errhine (Nasya).
Oils medicated with the
drugs remedial to the specific deranged Dosha involved

in
each case under treatment

25-26.
should also
be
pres-
cribed.
All
the foregoing preparations should be surcharged

in cases
with the urine and bile of a cow and used

to the existence of local parasites
,
due
g.,
and vermifuges
(e.
drugs of the Surasadi group) should be

a palliative measure.*
27,
administered as
Thus ends the twenty-fourth chapter of

Sus'ruta
the
Uttara-Tantra in the
Samhita which deals with the (symptoms and) medical treatment
of Pratis'yaya.
* In
places
of
"nm<J|i
'
Chakradatta reads "^rr^Tt^r*
*'
a<i
an
errhine.
He
also reads
"^mgrfqW:"
bile of
''> pasted with the urine (of a cow),

(ftpf) in the text. V'rinda,
and thus does not read the

reads "T^T^TTfT''
i
a cow
however,
n place of "nmmw" which means that vermifuges should
be used
for
washing purposes.
CHAPTER XXV.
Now we
of the head
shall discourse
with the symptoms of diseases peculiar to the region
(iro-roga-Vi jiuCniya).
:
i.
Classification
to the region
Diseases which
their
are
peculiar
vis.,
of the head number eleven
in all,
the
four kinds respectively due to the action of the deranged
Vayu,
Pitta,
Kapha, and
combination, as well as
to
those which are respectively
incidental
any bodily
waste (Kshayaja), or to the vitiated condition of the blood (Raktaja), or to the existence of parasites (Krimija),
the remaining four being
vata,
known
and
as Suryavarta,
Ananta-
Ardhavabhedaka
Samkhaka. 'The symp-
toms of these eleven kinds of head-diseases are given

below.
2.
Symptoms of Dosha-on'gined types A of violent headache without any apparent cause

fit
and which becomes worse
in the night
and
is
relieved
by pressure
or
by being bandaged or by an application

the head, should be ascribed to
is
of fomentation round
the action of the deranged Vstyu, and
known
as the
Vitaja-Siroroga.
in the
.
violent
burning and aching pain
head, in which the scalp seems to
have been
strewn over with bits of live charcoal, accompanied by

a sense of scorching vapour being
nostrils,
emitted from the

or on the of
and which ameliorates
in
the night
application of cold, should be ascribed to the action
the deranged Pitta, and
is
known
as
the
Pittaja-
Siroroga.
fit
of headache in which the head (palate)

to
and the throat* seem

*
be covered with a coat of sticky

some lead
to
la
place
of
"fjiffjRf
"fjfft jutfl".
This reading
is
adopted by Madhava.
There seems
be no difference in the meaning
sth? word fjj^(head)
may
include both the palate and the throat.
t$2
THE SUSHRTjTA SAMHITX.

feel
[Chap. XXV.
mucus, and
cold
and heavy, and cannot be turned

the deranged
abont, and the face and the eyes look swollen or flabby,
should be attributed to the action of

bodily Kapha,
and
is
called
the Kaphaja-Siiroroga.
A
all
case
preceding Doshas exhibits

of them, and
2-6.
is
marked by the concerted action of all the three all the symptoms peculiar to
known
as
the
Tri-doBhaja-Siro-
roga.
Symptoms
and
type,
of Raktaja, Kshayaja Krlmija types of iro-roga :

the vitiated condition of the
of the Pittaja
case of headache due to

local blood manifests all
the
symptoms
as the
and the head becomes incapable of (bearing) the

This
is
least touch.
known
is
Raktaja-Siroroga.
local
A
(
case of headache incidental to the waste of the

(fat)
Vasi
or
Kapha*
marked by an
is
intolerable
pain
Abhi-tapa) in the head which
aggravated by the appli-
cation of fomentation, fumigation, errhine, emetic and

blood-letting.
This
is
known
head
as
in
the Kshayaja-Siro-
roga.
The
disease of the
is felt
which a pricking
if
and tingling pain
inside the
head as
being stung,
(by some poisonous
insect),
and which
is
accompanied
by a watery discharge mixed with blood (D. R. pus) from

the nose, should be attributed to the
parasites.
existence of local
This disease
is
a dangerous
one
7~g.
and
is
known
as the
Krimija
(Parasitic) Siro-roga.
Symptoms
roga
is felt
:
of
SuryaVarta
in
S"iro-
The disease of the head

here comments body,
that
which a severe pain
in the
eye and the eyebrow just at sunrise, and

the
* Dallana
term ''Vasjt" means
all
the
fatty substances in the
e.g.,
the brain substance, Medas, semen,

is
Majjan,
reading
etc.
is
There
is
a variant
which
('
not recognised by Gayi.
That
Vasi
<Htm{afcwtftT<flrrt
Vrfyu.
ty
*e
waste) of
blood,
Kapha and
This, however, seems to be the better reading.
Chap.
XXV.
UTTARA-TANTRAM.
I^j
which goes on growing worse with the progress of the
day and begins

It (generally)
to abate only
when
is
that great luminary

called
begins to set in the western sky,
SuryaVarta.
ascribed
10.
abates on the use of cold articles but some-
times on that of
warm
things as well.
It
is
to the concerted action of the three Doshas.
Symptoms
rOgSL
pain
is
of
Ananta-vstta S~iroin
The
felt
disease of the head
at
the
Manya and
the
the
which a violent Ghata (the two
nerves on the backside of the neck) which ultimately

affects
the region of
eye, the
eyebrow and the
temples and specially produces a throbbing of the cheek,

as well as
paralysis
of the jaw-bone and the eye.

is
The
disease
is
known
as Ananta-va'ta and
due to the
concerted action of the three Doshas.
n.
head
in
Symptoms
nature
is
of
Ardhavabhedaka and
disease of the
Samkhaka: The
felt
which
a violent and excruciating pain of a piercing or aching

in
one half of
the
cranium
which
makes the patient feel giddy, and which either follows no distinct periodicity or recurs at a regular interval
of ten days or of a fortnight,
is
called
the
ArdhaVa-
bhedaka and
three Doshas.
is
due to the
concerted action of the
violent
pain
caused in the head
and more
especially in the temples
by the
local
Vayu
in
combination with the deranged Kapha, Pitta and blood is designated by the holy sages of Ayurveda as the
Samkhaka.
very hard to cure even by the joint advice of thousands of

It
is
produces a very great pain, and

as fierce as death
physicians and
Thus ends the
is
itself.
12-13.
twenty-fifth chapter in the Uttara Tantfa of the Sus'ruto
Samhiti which deals with the symptoms of the diseases of the head.
CHAPER XXVI.
Now we
shall discourse
with the therapeutics of the diseases of the head (Si 1*0-
roga-Pratishedha).
i.
Treatment of Va'taja-Ssiroroga
ment of Vata-Vyadhi should be employed
entirety in the
in
:~Retheir
medial measures described in connection with the treat-
Vayu-origincd types of the diseases of

all
the head, and
medicinal compounds of
oil
or clarified
butter should be followed by a potion of milk.
Mudga,
Kulattha, or
thing,
Mdsha
as
pulse,
unmixed with any other

and heat-making
articles,
as well
pungent
saturated with clarified butter and followed by potions

of tepid milk should be taken in
oil
the night.
also
Sesamum
Milk
or the paste of
sesamum may
state in
be taken.
duly boiled with the Vayu-subduing drugs should be
employed
locality,
in a
lukewarm
washing the diseased
and a plaster composed of the powders of the

luke-
same drugs boiled with milk should be applied
warm
to the scalp.
In the alternative, the scalp

flesh
may
be
plastered
over with the boiled
of fish
or with
Kris'ard (preparation of rice
and sesamum) saturated

of)
with Saindhava
salt,
or with (the paste

finely
Chandam,
Utpala, Kushtha and Pippali,

(all in
powdered together
lukewarm
state).
2-3.
Oil duly prepared with Kulira (crabs) should

for
be used
Nasya
(snuffing) purposes subsequent to the
employ-
ment of the (above) fomentation.

diluted
quantity of milk
with the addition
of half as
much
of water
should be duly boiled with the paste of the drugs of the
Varunddi group and taken down from the

the wnter has evaporated.
Butter should be
fire when skimmed out
Chap. XXVI.]
UTTARA-TANTRAM.
and
clarified
135
of
it
when
cool
butter prepared
therefrom
should be again duly cooked with the paste of the drugs

of the
Madhura
(snuff)
is
group.
The
use of this Ghrita
as
Nasya
highly
efficacious in
the type under
discussion.
cooked with the decoc-
tion of the preceding drugs (of the
Varunadi group) and

Snaihika
with milk should be taken with sugar.

(Chikitsa,
Dhuma
XL.) should be administered in time when
required,
and Traivrita Ghrita and Bald Taila should be prescribed as a draught and as an errhine, as
the
well as for
purposes of anointing, sprinkling and
Vasti-Karma.
subduing
The food
and
in
the
present
type
of the
disease should be taken
with milk cooked with

with
4.-5.
Vayu-
drugs
meat-soup saturated with
Sneha
(clarified butter).
Treatment of Pittaja and Raktaja

SirO-fOga
fied butter
:
Cooling plasters
saturated with clari-
should be applied to the scalp and cooling

in
head-washes should be prescribed
the
Pittaja
and
Raktaja types of Siro-roga.
Milk, the expressed juice of
sugarcane, fermented rice-gruel (Dhanyamla), curd-cream

(Mastu),
honey and sugar mixed

purposes.
in
water
these
for
should
be used for sprinkling

should
lotus),
Plaster
Vetasa,
the
head
(red
be
prepared with
Nala,
Kahldra
Cftandana, Utpala, S'atnkha (conch-shell), S'aivdla,
Yashti-madhu, Musta
and
lotus
taken together
and
mixed with
clarified butter,
and the
plasters described in
connection with
the treatment of Pittaja and

uê-d.
Raktaja
Visarpa (Erysipelas) should also be

of the as plasters and
The drugs
Madhuta group should be used in a tepid state the Sneha (oil or clarified butter) duly cooked with the same drugs should be used as an errhine,
and appropriate medicines should be used as purgatives as well as in Asthapana and Sneha-Vasti measures.
I36
Clarified

butter
Chap. XXVI.
skimmed
from
milk,
and
fresh
Vasd
(lard)*
of Jangala
animals
should be used as
errhines, and,
cooked with
the drugs of the Utpalddi
group, should be used in the
manner of Asthapana-vasti.
in the
Pood should be taken with meat-soup of Jangala ani-
manner skimmed from milk and duV cooked with the drugs of the Madhura group and mixed with sugar should be used for emulsive
mals, and clarified butter should be used
of an Anuvasana Vasti.
Clarified butter
purposes (Snehana),
and
to
all
measures
and
remedies
which
Pitta
cases.
are
remedial
the
deranged
blood
and
these
may
6-7.
be likewise employed with
profit in
Treatment of Kaphaja iro-roga:

In a
case
of
Kaphaja-Siroroga, the Kapha-subduing
measures, such as strong emetics, head-purgatives (Sirovireka)
and gargling should be resorted

of clarified butter
-\
to.
The
trans-
parent upper part

to drink,
should be given
and fomentation should then be frequently

Head-purgatives should then be
of
applied to the head.
administered with the pith
Madhuka wood,
or
with Mesha-s'ringi
and
of
Ingudi bark.
Vartis (sticks) used
made
in
of Meslia-s'ringi and Ingudi barks should be
smoking.
Snuffs
powdered Katphala
should be
taken, and gargles with Kapha-subduing drugs should be

used.
Plasters
prepared with Sarald, Kushtfia, S'drn-
gashtd, Deva-ddru, and
Rofcsha pasted together with
the alkaline water and
mixed with Saindhava salt should be applied lukewarm to the head. The diet should
consist of
cooked barley or Shashtika
rice,
which should
In place of 'to'
( lar(1 )
some reaa
"
'TOT*
which means meat-soup.

butter
+ 1 According to a variant matured

in this case.
clarified
should be used
Up. XXVI.
UTTARA-TANTRAM.
137
be judiciously taken with Yava-kshdra and powdered

Trirkattt
and with the soup of Mudga,

8.
Patola
and
Kulattha pulae.
Treatment of Tri-doahaja and Kshayaja S'lrorOga

:
The Measures which are severally

marked by
butter are
remedial to the three deranged Doshas pf the body

should be employed in a case of Siroroga
the concerted action of the
three Doshas (Tri-doafcaja")

clarified
and draughts of old and matured

said
to
be specially efficacious in such instances. Employment of nutritive (Vrimhana) measures and remeis
dies
recommended
in
cases of the diseases of the head

local fat, etc.
due to any waste or atrophy of the

aja Siroroga).
Clarified
(Kshay-
butter duly cooked with the
admixture of the drugs of the
V ayu-subduing
Madhura groups*
errhines.
in
should
be given
and the as drinks and
Any
medicated Ghrita which acts as a remedy
cases of consumptive
cough would be found most

(Kshayaja) type.
9-10.
efficacious in the present
Treatment of Krimija Siroroga :

In a case of head-disease (head-ache
?)
due
to the germi-
nation of parasites (Krimi) in the head, the patient should
be
made to snuff in a quantity of animal blood. The worms or parasites lured with the smell of the blood, would greedily come down (into the passages of the nostrils) when they should be carefully extracted (by
means of
tongs, etc).
Head-purgatives composed of the
pulverised
mixed with pounded together should then be used, if necessary, or any vermifuge drug (Vidanga, etc.) pasted with the urine of a cow should be
seeds of
brass)
Hraswa
(small) S'igru
Kdnsya (dead
and
Nili (indigo)
According
to
Videha the
clarified
butter in this
case should be
cooked with the decoction of the

oi
V ayu-subduing drugs and
with the Kalka
the Madhura -do^p
18
I38
[Chap. XXVI.
stuffed into the nostrils in
the manner of an
Avapida
nostrils
Nasya.
Fumigations should be applied into the

fishes
with the fumes of burnt sordid
and vermifuge
1 1.
foods and drinks of various kind should be given.
Treatment of Suryavarta and Ardha'vabhedaka Errhines etc. (plaster, gargle, etc.)

:
should be prescribed in cases of the Suryavarta type of

Siroroga.
rice
The
diet should principally consist of boiled
and milk
with clarified butter and the essence
or extract of the meat of Jangala animals.
These and
of Siroroga.
similar other suitable remedial agents should be employ-
ed in cases of the
ArdhaVabhedaka type
Sirisha* and Mulaka seeds or bamboo-roots camphor, or Vacha and M&gadhi, or Yashti-madhu and honey,
or
Manah
sild,
pasted
with
honey,
or
(pasted)
in
Chandana should be
varta
stuffed
into
in
in
the nostrils
the
manner of an Avapida Nasya

bhedaka headache.
patient should be
a case of the Surya-
type of Siroroga as well as
a case of Ardhavaof the
After the use
above, the
made
to snuff in the medicated clarified
butter cooked with the drugs of the

lyadi)
Madhura
-f-
(Kako-
group, in
both the above cases.
Plasters
com-
posed of Sdrivd, Utpala, Kushtha and Yashti-madhu pasted with Kanjika(acid gruel) and surcharged with
clarified
oil
and
be
butter
arc to be found efficacious

affected region.
in
both the
cases, if applied to the
This
may
employed with equal success

type
%
in the cases of the
Kapha ja
bark and
of Siroroga. 12-14.
* Sripati Dalta, the commentator of Vrinda, prescribes the
S'ivadasa
S'irisha.
Sen,
the commentator
of Chakrapani,
prescribes the seeds of
Some take "jrg^Tf"

not accepted by Jejjata.
to
mean "jr^"
%
it is
In place of the Kaphaja type some read the Kshayaja type.
Bui
in
Others again read
"Aniltoake"
i.e.
the Vdtaja type.
dhap.
xkVl.
UTTAUA-TAKTRAM.
139
Treatment of Ananta-vaCta :Cases of

Ananta-vata Su'oroga should be treated like those of Suryavarta. Moreover blood-letting should be effected
(by opening a local vein) and
as to subdue the
the diet should
be such
Vayu and
made
the Pitta and should cossist

t.nd Ghrita-pura (different
clari-
of
Madhu-Mastaka, Sangydsa
kinds of confectionery
fied butter, etc.).
of wheat, sugar, milk,
15.
Treatment of
Samkhaka
: Clarified
the diet
butter churned from milk should be given for a drink and
used as an errhine in a case of
Samkhaka and
should consist of (boiled rice mixed with) clarified butter
and the essence of the meat of jangala animals. Plasters composed of S'atdvari, black sesamum, Yashti-madhu,
Durvd and Punaruavd pasted together, or of Mahd-sugandhd (Utpla-asariva) or Pdlindi pasted with
Nilotpala,
Kdnjika should be applied to
the
affected
locality.
Cooling washes and plasters as well as different Avapida
Nasyas prescribed
in
cases of Suryavarta should

16.
also
be prescribed for this disease (Samkhaka).
Strong head-purgatives (crrhines) composed of
oil
and honey should be

roga with the
first
administered
of
in cases
of Siro-
exception
the
Krimija
and the
Kshayaja types.
ing
Then
the patient should be

oil.
made
to
snuff in drops of mustard
In cases
remedies would
fail
to
where the precedproduce any relief, the
patient should
be treated with Sneha and Sveda, and

then be effected by opening a local
bleeding should
vein.
17-18.
The Conclusion The

:
causes,
symptoms
disease
and the therapeutics of the seventy-six kinds of ocular

affection,
of the twenty-eight kinds of the
of
the ear, of the thirty-one kinds of nasal disease, of the

eleven
kinds of the disease of the head as well as
t40
THE
STJSHRTJTA SAMHITX.
[Chap.
XXVI.
of the sixty-seven (sixty-five) kinds of the affection of

the
mouth have been
described in
detail
in
other
treatises (eg. those of Videha, etc. dealing with this special
subject
the diseases of the over-clavicular region).

19.
The
number, symptoms and therapeutics of these diseases

of the over-clavicular region are herein briefly described
in
accordance therewith.
Thus ends
the twenty-bixth chapter of the Uttara-Tantra in the Sus'iuta
Samhita which deals with the treatment of the diseases of the head.
Here ends the dalstkya Tantra (Surgery

Minor).
CHAPTER
Now we
with the
life,
XXVII.
shall discourse

of infant
specific features (of the nine diseases
which are attributed to the influences) of the nine malignant Grahas (Nava-Grah&'krJti-Vf Jnrf-
nam).
cribe,
r.
Different
Names
'.Attentively hear
me
des-
Sus'ruta, the origin, cause
and medical treatment
of the diseases of infancy
of malignant stars (Graba) or

characteristic
ly
which are due to the influences demons as well as the

accurateall
symptoms by which each can be diagonosed. The diseases number nine in

called
and
are
Skanda-Graha,
Skandapasmara,
Sita-Putana,
2-3.
Sakuni,
Revati, Putana,
Andha-Putana,
Mukhamalig-
mandika and Naigamesha or
Pitri-Graha.
General COUrse Of attack :These

child in the cases
(in
nant stars (Graha) or demons affect the person of a
where the directions
laid
down
before
the
Sarira-sthana) in
respect of the conduct of the
mother or the nurse during the time the child is broughtup on the breast arc not followed, and consequently
where proper benedictory

the child
is
rites
arc not
in
performed and
state, or
allowed to remain
child
an uncleanly
where the
ened,
their
is
becoming anyhow uneasy gets

of getting
fright-
rebuked, or begins to cry.
They (demons) make

proper
appearance for the purpose
respect
and
worship.
arc not
They
capable
being 'omnipotent and

of being seen
I
omnipresent
by man
when they
fore,
enter the person of a child.
should, there-
discourse
on the symptoms of their presence, as

4.
derived from the authority of the sages of yore.
i42
TILE SUSIIKUTA
SAM HIT A.
[Chap. XXVII-
Symptoms of attack by Skanda graha and Skandapasmara-graha :

Swelling of the eyes and distorted features of the face
and an aversion to the breast-milk arc the indications of an attack by the Skanda-graha. The body of the chiid emits a bloody smell and one of the eyelids becomes
fixed or motionless.
his
fists
The
rolling
child looks frightened,
closes
(as in
fit
of convulsion) and
moans
little.
The
eyes
become highly
and the
fits
stool
becomes hard
and cons-
and constipated.
in dancing,
Alternate
of fainting
ciousness, convulsive jerks
of legs and hands like those
foaming
(at
the mouth), yawning and the

of wind arc
passing of stool and urine with the passage
the characteristic features of an attack by the Skaud^-
pasma'ra-graba.
5-6.
Sâkuni
and Revati : Looseness

by
the
in
of
limbs
which emit a peculiar bird-like* smell arc the indications

of an attack of the child
child in
Jjakuni Graha.
terror
The
is
such a case starts up
and
its
body
covered with a large number of secreting ulcers (Vrana),

or
of
eruptions
of vesicles
attended
with a burning
sensation
subsequently suppurating
and
bursting
of
themselves.
The
if
face assumes a blood-red hue, the stool
(as well as the urine)
becomes green and the body of the

colour,
child
looks as
of deep yellow or dark brown
fever ensues with an infiamation of the mouth, a bruised
pain
rubs
is felt all
over the body and

ears
the
the
child
frequently
its
nose and
these
arc
features which
mark
a sure attack of Revati-Graba.
7-8.
PutansC and Andha-putana' :Looseness of the

limbs,
disturbed
sleep
whether
by day
By
the
word fa^f.
(lit.
a bird) in fa^rjlfa:
is
here meant rueat-
eating aquatic birds.
Chap. XXVII.
UTTRA-TANTRAM.
of a
I43
crow-like
or at nighc, loose stools, emission
smell
from the body, vomiting, appearance of goose-flesh on the skin and thirst are the specific symptoms of an
attack of the child the breast-milk as
by the Putana'-Graha.
well as
Dislike
of
for
an attack
dysentry,
(Atisara), cough, hic-cough, vomiting, fever, discolouring
of the complexion, and swelling in the skin as well
as
an inclination to
lie
always on the fa;c are the sympin
toms which arc exhibited

the Andha-Putana'-Graha.
case
of an
attack by
9-10.
ita-putanaand IYIukha mandika :

Constant and frightened startling up, excessive shivering,
comatose
sleep, constant diarrheic stools
and bloody smell
of the limbs arc the of
symptoms which characterise a case an attack by S.ta-Putana'. The child in this case cries
is
almost unceasingly, and a rumbling sound

intestines.
heard
in
the
Paleness (emaciation) of the body (trunk) and

the
extremities
a glossy line (swelling) of the face and
attended with frightfulncss,
voracious appetite, appear-
ance of net-like veins on the abdomen and the emission

of urine-like smell frbm the
body are the symptoms of an

u-12.
vomits, bend-
attack of the child by Mukha-mandika' Grata,
NaigameSha-Graha : Frothy
crying,
ing of the middle of the trunk, anxious appearance, loud
upward gaze of the
eyes,
constant emaciation
(fever-D. R.), a fatty smell in the
body and unconsciousa case of an attack
ness are the
symptoms which mark

13.
by the Naigatnesha.
Prognosis : A
of fainting
specific
stupificcl
state
of
the child
fits
attended with anaversion to breast-milk and constant

as
well
as the
full
development of
fatal
all
the
symptoms show the imminent

Otherwise
if it
it
termination
of the disease.
may
prove amenable to
14.
medical treatment,
be not a case of long standing.
144
THE SUSHRUTA SAWHITX.
Chap.. X3CVII.
Rules to be observed sThe

should be rubbed
clarified
child
its
should
be kept in a clean and purified chamber and

or anointed
body
all
with old and matured
butter.
Mustard seeds should be strewn
over the floor (by a person) in a clean state and a lamp of
mustard
oil
should be kept perpetually burning therein.
Libations of clnrified butter with the drugs of the Sarvagandftd and
Sarvoustiadhi * groups and
garlands
of
fire
flowers as well as sandal paste should,be cast into the
and kept continually burning by

incantations, "Obeisance to thee,
to thee,
reciting
the following
fire-god,
obeisance
goddess
Krittika,
obeisance to thee,
Skanda, obeisance to thee,

with deep humility,
lord of the
Grahas (which
Dost thou
has cast this malignant influence).

I
With head down

thee.
supplicate thy favour.

I
accept the offerings
have made to
it
May my
from.
child get rid of the disease
has been
1 5.
>ufFcring
Makest
it
hale and hearty again."
Thus ends
the
twenty-seventh chapter of the Uttara-Tantra in
the
Sus'ruta-Samhit which deals with the specific jjjaturcs of an attack by the

nine (malignant) Grahas.
The
drugs of
the
Elidi 'group
are
known
as
Sarv.i-gandha.
Sarvaaushadhi drugs here mean Yava, Dha'nya,
Tila, etc.
CHAPTER
Now we
shall discourse
XXVIII.
remedial

measures) of an
with the Therapeutics (and

attack by Skanda-Graha
(Skanda-Graha- Pra-
tlshedha).
i.
Decoctions of the leaves of the trees (Vilvadi) possessed of Vayu-subduing virtue should be used
ling purposes
for sprink-
and
oil
duly
cooked and prepared with

drugs of the
the decoction of their
roots and with the
Sarvagandha, group and iwith Kaitaryya* and Surdtnanda as Kalka should be
used
in
anointing the
body
of the child laid up with an attack of Skanda-graha. Draughts of clarified butter duly cooked with Deva-ddru, Rdsnd, the drugs of the Madhura group and with milk,
should be internally administered.
2-3.
child
Fumigation
should be fumigated
clarified butter
Moreover the body of the
with the fumes of the mustard
of a snake, Vachd, Kdkddani, and the hairs of a camel, a goat, a sheep or of a cow mixed together and burnt. 4.
seeds, the cast-off skin
The twigs
of
Soma-balli (Guduchi), lndra-balli (As-
mantaka) and S'ami as well as the thorns of Vilva and

the roots of Mrigddani, should
be strung together
its
(in
the shape of a garland) and tied (round
neck).
5.
The
Skanda
physician (or any other person
acting
on
his
behalf) should bathe in the night and
worship the god
for three successive nights in the inner
quadrangle
of roads
of the house of the
child
viz.,
or at the crossing
with various offerings,

flags, red
garlands of red flowers, red
perfumes such as Kumkutna, edibles of various

means Niniba or Guduchi.
* Kaitaryya, according to Dallana,
19
I46
kinds
THE SUSIIRUTA SAMHITA.
Chap. XXVIII.
and newly harvested barley grains,
5 dli
rice.
cock should be sacrificed on the occasion (to appease
his wrath)
and
to
bells should
be rung
(for his propitiation).

(in
The water
and the
be used for bath

reciting
course of worship),
should be consecrated by
sacrificial
fire
the Gayatri Mantra

lit
should be duly
with (three,
6.
seven or ten) libations (of clarified butter).
Mantras
guarded by
The
:
body of the
child
should be
a careful physician against
the influence of
the malignant Grahas by reciting every day a
which runs as follows

changeless deity
energies produced
"May
is
Mantra
of
Skanda, the eternal and

all sorts
who
by
the receptacle of
austerities, fame, valour, or organic
combination
the
(vital energy),
be propitious to thee.
all evils
May
of the
of the
almighty Guha protect thee from

is
Guha
who
the commander-in-chief both of the

is
army
gods and of the Grahas and
the
(in
destroyer
enemies of the army of the gods

been
gods).
installed,
lit.
which rank he has

all
wedded, with the suffrage of

is
the
May
he
who
the begotten son of the supreme
deity
the
god of the gods and who
acknowledges
severally the
exalted motherhood of Ganga,

comfort.
single
Uma
May
and
the
the Krittikas, give thee health and

beautiful
god who pierced with a

rays of his
shaft
right
through the heart of the mountain Krouncha and

is
who
effulgent with the red
own
divine person
smeared with the paste of red sandalwood and decked

with the garland of
perils."
7.
red
flowers, protect thee
from
all
Thus ends the twenty-eighth chapter of the Uttara-Tantra

Sus'ruta Samhiti
in
the
which deals with the Therapeutics of Skanda-Graha.
CHAPTER XXIX.
Now we
shall discourse
with the Therapeutics of an attack by
on the chapter which deals Skandapasmara

i.
(Skandapasmara- Pratishedha). A decoction of Vilva S'irisha, Golomi (Durdlabhd),

t
and the drugs of the Surasddi group should be employed

in
sprinkling the body of the possessed child in a case

disease.
of the present
Medicated
oil
duly
cooked
with the drugs of the

used in anointing;
its
Sarvagandhd group should be
body. Clarified butter duly cooked
with milk and the decoction of the barks of the Kshiri

trees together with the
drugs of the K&kolyddi group
Kalka* should be prescribed for internal use. 2A. The body of the affected child should be rubbed (UtBttdana) with the paste of Vachd and Hingu taken The dungs of an owl and a vulture, human together.
as
hairs, the nails of
an elephant,
clarified butter,
and the
for
hairs of a bull should be
mixed
tog'ether
and used
fumigating the child's body. Anantd, Vimbi, Markati, and Kukkuti should be strung together and fastened 215. (as a charm) to the body of the child.
The
physician (or the
votary officiating for him)

of the disease
in
should worship the presiding deity

ditch (dug out for the purpose)
with the offerings of both

(of
cooked and uncooked meat, fresh blood

ghosts,
a goat
milk, and edibles prepared with the Mds/ia pulse for the
and the possessed

of roads
child
should
'
be bathed at
observing
the
to
the
*
crossing
by
physician
Although Dallana prescribes the drugs of the Kikolyadi group
be
used as Kalka,
we
are inclined
to
take
the sentence
to
mean
that the
decoction of those drugs should be used.
14&
necessary
Chap.
XXIX.
Mantra
one
"O
fast,
etc.
with
the recital
of the
following
thou, the trusted
the god Skanda,
and beloved friend of Skandapasmara, O thou ugly-faced
whom
the world knows
by the
epithet of Visakha,
2.
may good
befall this child in distress."
Thus ends
the
twenty-ninth chapter
of the
Utlara-Tantra in the
Sus'ruta Samhita
which deals with the Therapeutics of an attack by
Skandapasmara.
CHAPTER XXX.
Now we
shall discourse
with the medical treatment of an attack by Safcuni
(akuni-Pratishedha).
i.
A
child
wise
physician
should
sprinkle the body of the

decoction (duly
possessed
by Sakuni with the
Vetasa, Antra and Kapittha. Oils duly cooked with the drugs of the sweet and astringent groups
prepared) of
should
(plasters)
used in anointing its body. Pradehaa composed of Madhuka, Us'ira, Hrivera, Sdrivd, Utpala, Padmaka, Rodhra, Priyangu, Manjishthd and Gairika, should be applied. 2A. Various kinds of medicinal powders and diet and
be
remedial
measures
in
general described
with the medical treatment
in connection of Ulcers * as well as the

in
fumigations (Dhupana) mentioned
the chapter on the
treatment of Skanda-graha (vide
ch.
XXVIII.) should
be prescribed for the disease under discussion. Drugs such as S'atdvari, Mrigddani, Ervdru, Ndgadanti,
Nidigdhikd, Lakshmand, Sa/iadevd and
Vrihati should
(in
be fastened
(as a
charm) to the body of the child

2B.
the preceding manner).
The
inside
presiding deity of the disease (Sakuni
Graha)
should be
a
by a physician of self-control Karanja bower and be propitiated with

worshipped
offerings
of huskless
sesamum, garlands of
flowers,
Haritdla (yellow crpiment) and Manahs'ild
(realgar)
and the
child should
(according to the
Skanda Graha).
be bathed duly inside the bower down in the treatment of The medicated Ghrita prescribed foi
rules laid
* See Chapter I, Chikit&hila Sthina.

i{|0

treatment
of
in
[Chap.
XXX.
ad-
the
Skanda Graha may

the present instance.
also be
vantageously given
2C.
Various sorts of worship should be made with the
The Mantra to be recited on the occasion runs as folllows "May the ever down-looking sharp-beaked goddess, Sakuni, who (with her keen and far-seeing eyes) is decked with all sorts of ornaments and who traverses
offerings of various species of auspicious
flowers.
:
the ethereal
sky
in
her
flight,
be propitious to thee.
May
the brown-eyed, fierce-looking, huge-bodied, large-
bellied,
and
2.
spike-eared
Sakuni,
who
strikes
terror
into the heart of
man
with her terrible voice, be pleased
with thee."
Thus ends
the thirtieth chapter of the
Uttara
Tantra
in
the Sus'ruta
Samhita which deals with the treatment of (an attack) by S'akuni.
CHAPTER XXXI.
Now we
shall discourse
treats
of the Therapeutics of an an attack by Revati
(Revati
Pratishedha).
The duly prepared
Ajas'ringi,
i.
decoction of A/vagandkd, Sdrivd,
PunarnavA, the two kinds of Sahd
and
sprinkling (Sechana) the body of the affected child (in a case of an attack
Viddii should be employed in
by Revati). Medicated oil duly cooked with Kushtha and Sarjarasa (resin) * should be used in anointing
the child's body.
the decoction of
Medicated Ghrita duly cooked with
Dhava' As'va-k&rna, Kakubha, Dhdtaki

drugs of the
and
Tinduka and with the

(as
Kdkolyddi
group
Kalka) should be employed internally as a

2 A.
draught.
Kulattha, (burnt and) powdered S'amkha (conch-shell)
and the drugs of the Sarvagandha group should be used as Pradehas (plasters), and the body of the child should be fumigated {Dhupand) morning and evening with the
smokes of barley, Yava-phala (bamboo), and the dungs Neckof vultures and owls mixed with clarified butter. ornament should be made with (the wood or pith of) Varuna, Arishta (Nimba), Ruchaka, Sinduka (Nirgundi), and Putranjivaka and should be always worn on the neck (as a charm) by the child. 2-3.
The
presiding deity of the disease
known
as
Revati
should be worshipped in a cow-shed by a self-controlling

physician with the offerings of white flowers, milk, parched
* There is an additional text in the Bhivaprakas'a which says that Guggulu (Palamkashi), Nalada (Khus-khus) and Giri-kadamba should also be used in the preparation of the medicated oil.
152

S'dli rice
[Chap.
XXXI.
paddy and boiled

the child should
and the nurse as well as

in
be bathed
junction
of
rivers.
The Mantra (to be recited in course of worship) runs as follows :"May the goddess, Revati, of dark complexion who is clad in parti-coloured garments and
garlands of flowers of various colours and painted with
anointments of various kinds and with oscillating earrings,
be pleassd with thee.
May
the
goddess, Revati,
who
is tall,
drooping and terrible-looking, and
who
is
the
2.
mother of many sons be always propitious
to thee."
Thus ends the thirty-first chapter of the Uttara-Tantra in the SuVruta SamhitX which deals with the Therapeutics of an attidi by Revati.
CHAPTER XXXII.
Now we
shall discourse

of
r.
treats
of the medical
treatment
an attack by Putana
(Putana'- Prati shed ha),
decoction of the barks of Kapota-bankd, Araluka,.
Varuna, Pdribliadraka and A'sphotd should be used in
washing, and medicated oil duly cooked and prepared Kalka and decoction of) Vac/ia, Vayasthd, (Brahmi), Golomi, Haritdla, Manah-s'ild, Kushtha and
with (the
Sarja-rasa (resin) should
be
used
in
anointing the
body
of a child possessed
by Putana.
2-3.
Clarified butter
duly cooked with the Tugd-kshiri,
Khadira and Chandana, and the drugs of the Madhura group would be found beneficial. 4.
Kushtha, Talis
Deva-ddru,
a,
Vachd,
Kushtha,
Hingu, Giri-kadamba,
Eld and Harenu should be used in fumigating the Fumigation of Gandhandkuli, body of the child. Kumbhikd, marrow of Vadara-fruits, shells of crabs, and mustard-seeds pounded together and mixed with
clarified butter
may
fhald, Vimbi and

(as a
v
also be used. Kdkddani, ChitraGunjd should be worn on the body

child.
charm) by the
in
5-6.
Putana, the presiding deity of the disease, should

the interior of a lonely chamber with
rice
be worshipped
oblations and with the offerings of boiled
prepared
with the admixture of
fish
as well as those of Kris'ard,
and Palala (meat or puddings of sesamum) placed in a saucer and covered with another, and th? child should
be bathed with the water
slovenly
in
left
behind after worship.

is
The worshipping Mantra

the
as
follows
"May
who
is
7A.
shag-haired
goddess,
PutanS,
dressed
dirty clothes, and
who
loves to haunt lonely
20
154
THE SUSHRUTA
SAMIIITX.
[Chap. XXXII.
dwellings, .preserve
frightful
the child.
is
May
a
the fierce-looking,
goddess
to
who
as black as
dark rain-cloud,
who
loves
haunt
all evils."
lonely and
dilapidated
human
dwellings and whose body gives off filthy odours protect the child from
7.
Thus ends
Sus'ruta
the
thirty-second chapter
of the
Uttara-Tantra
in
the
Samhita which deals with the medical treatment (of an attack) by
PutanS.
CHAPTER
Now wc
>vith
XXXIII.
shall discourse

by) Andha-pui.
the medical treatment of (an attack
tana
(Andha-putana-Pratishedha).
decoction
of the
The
leaves
of
the
trees
of the
in
Tiktaka gana (trees of bitter taste) should
be used
sprinkling (the body of the possessed

Souviraka
(a
child).
Surd
(wine),
kind
of acid
gruel), (resin)
Kusktha, Hantdla,
should be used
in
Manah-s'ild
and
in
Sarjarasa
due proportion
medicated
medicating the
oil (for
the child)
and
the
Ghrita should be duly
cooked
with
Kalka and decoction

of the
of Pippali, Pippali-mula, the
drugs
Madhura
group,
S'dlaparni and the two
kinds of
Vrikati with the addition of honey (as an after-throw). 2 A.
Plasters of the drugs of

should be soothed
cock,
the'
Sttyva-gandhd (Eladi)
child
group should be applied to the body of the

its
and
eyes
with
its
cold
applications.
The
feces of the the
feather
and skin*, the
cast-off skin of a
snake and the ragged garment of a

should
(Buddhist)
child's
monkf
The
be used for fumigating the

be
body.
of)
child should
made
to
wear
(the
roots
Kukknti,
2B.
Markati,
S'imbi and
Anantd as
a charm.
Offerings of meat, cooked or uncooked, and of blood
should be
made
(to
Andhaputana)
at
the
crossing
of
roads or inside a
house for the preservation of the
Some
explain
"%HP^"
(hair)
and
=q*r
(tkin) as
those
of
man and
not of a cock.
|
Bhavaprakas'a reads "^W^rifl'^liT 3T8:"
'
'
v cry old cloth. This
reading does not suggest that the cloth to be used should
have been worn
by a Buddhist monk.
t$6
child,
tHE SUSURUTA SAMIIITX

which (with
its
[Chap.
XXXltt
nurse) should also be
bathed with
the decoction of the
holy drugs of the Sarva-gandha

runs as follows
:
group.
ful,
The Mantra
"May the dreadto
brown-coloured, bald-headed, goddess Andha-putana,
wearing a red-coloured garment be pleased

this child."
2.
save
Thus ends
the
thirty-third
chapter
in
the
UttaraTantra of the
attack)
Sus'ruta Samhita which deals
with
the medical treatment ol (an
by Andha-pulana.
CHAPTER XXXIV.
Now we
shall discourse
on the medical treatment of
(an attack by) S'ita-putana
(lta-putana'-Prati-
shedha).
The
be used
t.
decoction of Kafittha,
(?),
Vilva, Prachivala
in
Suvahd (Risna), Vimbi, Nandi ( Vata) and Bhalldtaki should sprinkling (the child's body). The urine of
a cow and of a she-goat, as well as Musta, Deva-ddru, Kushtha and the drugs cf the Sarva-gandha (Eladi)
group should be used

oil
in
duly preparing a medicated
(for
the
purpose) and
medicated Ghrita should be

of)
duly cooked with (three parts

Rohitri
K
the decoction of
Sarjarasa (resin \ Khadim, Paldsd and barks of

of) milk.
Arjuna and (one part
2 A.
Dungs of an owl and a vulture, the cast-off skin of a snake as well as Ajagandhd and Nimba leaves and Yashthi-madhu should be used for fumigating purposes, and Lambd (Tiktalavu), Gunjd and Kdkddani should be
be worn (as a charm) by the child.
2B.
The goddess îtaputana should be worshipped with the offerings of the preparation of rice and Mudga
pulse (cooked together) as well as with
Vdmni wine and

river
blood, and the child should be bathed near a

:
"May the goddess tank. The Mantra is as follows Sita-putana, who is fond of the preparation of rice and Mudga pulse, who delights in drinking wine and blood and who resides by the side of a river or a tank, preserve
thee."
2.
or a
Thus ends
Sub'ruta
the
thirty-fourth
chapter
in
the
Uttara-Tantra of
the
Samhita which deals with the medical treatment of (an attack
by) S'itaputani.
CHAPTER XXXY.
Now we
shall discourse
on the
:hapter which
attack by)
deals
with the medical
treatment
of (an
Mukhai
mandika(Mukha-mandikaf-Pratishedha)
The decoction
of Kapittha, Vilva, Tarkdri (Jayanti),
Vants' a-lochana (D.R. Visa), Gandharva-hastakd (Eranda) and Kuvcrdkshi (Patala) should be used in sprinkling
(the
body of the possessed
child).
Oil
and
fat
(in
equal
parts) should be duly
cooked' with the expressed juice
of the Bhringardja, Ajagandlid and
Harigandhd (As'wa-
anointing the child's body. Medicated Ghrita should be duly cooked with Madhulikd
in
gandhd) and be used
(Murva), Tugd-ksliiri and the drugs of the
Madhura and
2.
the minor Panchd-mula groups and with milk.
A.
Fumigation mixed with clarified butter would be found beneficial and the child should be made to wear the tongue of a
Vac/id,
with
Sarjarasa and Kushtha
Ch&sa
bird, a Cldralli bird or a
snake (as a charm).
2. V>.
Offerings of
Varnaka (Kampillaka), Cliurnaka, garboiled in milk) and
lands of flowers, Rasdnjana, Pdrada (mercury), RTanahS't/d,
Pdyasa
(rice
puddings should
be
made
(to the deity)
inside a cow-shed
and the
child
should also be bathed therein with water consecrated
with Mantra.
beautiful
The Mantra
ornaments,
runs as follows
"May
the
is
and blessed goddess, Mukhamandika, who
decked with
forms at
thee".
will
who
resides
can
in
assume
different
and who
cow-sheds, preserve
Thus
ends
the
thirty-fifth
Chapter of the Uttara-Tantra
in
the
Sus'ruta Samhita
which deals with the medical treatment of (an attack
by) Mukhamandiki.
CHAPTER XXXVI.
Now wc
sha
shall discourse

attack by)
with the medical treatment of (an
Naigamci.
(Naigamesha-Pratishedha).
The
decoction
of
Vilva,
Agnimantha and Putikd should be used in sprinkling (the body of the possessed child) and sprinkling with Surd, Sauvira and Dhdnydmla (Kanjika)
medicated
oil
is
also
advisable
in
such cases.
A
with
should
be duly cooked with Priyangu,
Sarald, Avantd, S'ata-pnslipd and Kutannata and

cow's urine, the liquid
of the
milk-curd (Dadhi-mastu)
and Kdnjika
Medicated Ghritas shoulJ
be duly pre-
pared with the drugs of the

with the decoction
Madhura group as Kalka, oflhe Dasamula and with milk or

2.
with the head of a date-palm tree
A,
Vac/td, Vayasthd,
The
child should be
made
to
wear
Go/omi and Jatild as a charm and the utsa'dana measures
recommended
in
the
treatment
also.
of
Skandapasmara
rice,
should be used in this case
Siddhdrtliaka (white
Bhalld-
mustard), Var/id, Hingii, Kushtha, parched

taka and
Ajamodd should be used in fumigating the body of the child. In cases of attacks by Navagraha the dungs of a monkey, an owl and a vulture should also be used by persons wishing the good of the child for
a fumigating purpose and that
at the
2.
V>.
dead of the night
when
and
all
persons arc asleep.
Offerings of husklcss
various
dishes
(the
scsamum, garlands of flowers

be
should
made
child)
to
the
at the
deity
foot
Naigamcsha
preserver
of the
of a Vata tree on the sixth

child should be
day of the fortnight and the

tree.
bathed there at the foot of the
l6o
THE SUSIIRUTA SAMIHtX.

runs as
follows
:
[Chap.
XXXVI.
The Mantra
goat's face with
"May
rolling
the far-famed
god, Naigamcsha, the preserver of children,
moving brow and

will,
who has a eyes and who

2.
can assume different forms at
preserve the child."
Thug ends
the
thirty-sixth
chapter
of
the
Uttara-Tantra
in
the
Sus'ruta Samhita
which deals with the medical treatment of (an attack
by) Naigaraesha.
CHAPTER XXXVII.
Now wc
shall discourse
with the origin of the (nine) Grahas
(GrahotpattiSkanda and others

arc
all
Adhyaya).
The
ethereal
i.
vr'rj.,
nine presiding deities

diseases
of the nine
of infant
life
possessed of
frames,
divine
effulgence
distinction
of their
own.
and specific sexThey were created by the
gods Agni, Mahadcva and the goddesses Krittika and
Uma for guarding the person of the new-born Guha though protecting himself with his own divine prowess
amidst the stems of
the females
S'ara grass.
possessed
Of
these
Grahas
who
arc
of various
as
shapes as
described before arc

the
considered
originally
made
of
Rajasa
2
essence of
the goddesses Ganga,
Uma
and
Krittika.
A.
is
The Naigamcsha Graha who

face
possessed of a sheep's
was created by the goddess l'arvati as the friend and protector of the young god Guha and who was as Skand&pasmara, the dear to him as his own self. presiding deity of the disease named after him, was created by Agni, the fire-god (Vulcan). ]]c is as bright as fire itself and is a constant companion of the god Skanda and is also known by the name of Visakha.
The god Skanda,
the tutelar divinity of the disease of
that denomination,
was begotten by His Holiness, the Almighty Destroyer of Tripura and is otherwise known
(lit.
by the name of Kumara

dcva).
It is
child, viz.,
of
Maha-
2B.
impossible that the god springing from Rudra

his exalted
and Agni, with

jn
parentage would find pleasure

out
of childish frolic21
such a dangerous disease even
162

it
[Chap.
XXXVH.
somcness and
authorities
has also
been asserted by eminent

unintelli-
on the physical science that some

into holding,
gent persons have been misled
through a
mistake due to the identity of

other than the invincible Skanda.
the names, that the

is
author of the disease under discussion (Skanda)

2.
no
the
On
the effulgent god Skanda's being elevated to
leadership of the armies of Heaven, the presiding deities
of those diseases waited
upon him
his
and with folded

of their
referred
subsis-
palms asked
tence.
him about the means

turn,
The god Skanda- in

latter in a
them
to
His Holiness the god Siva for the answer, whereupon
they went to the
body and made the same

Grahas, exist
minis-
query. Mahadcva, the Destroyer of Bhaga's eyes, replied
"Gods,
men and
other
animals, O, ye
on the principle of reciprocal benefit*.

ter
The gods
to the wants of
of
men and
the
beasts, etc.,
by marshalling
in
different seasons
year and by setting the air

rain,
in motion and sending
down the
and men,
their
per-
turn, propitiate the gods
by duly and reverentially
forming the
sacrificial rites,
by saying
their prayers with
blended palms, by bowing
down
repetition of prayers, religious
observances.
All
services
and by vows and other religious and their emoluments in

in
reverence,
consequence have been
filled
up and
in
settled
and there
infant
remains nothing for you to

(though the emoluments
stained with
fill.
Your proper means of

the
*
subsistence will, therefore, be
life
of an
you
3 A.
shall
receive
shall
be
the tears of
many
an anxious, watchful
and night-worn parent).

*
Exchange or
reciprocity of services underlies
the
foundation
of all
distinct
and cognitive existences, whether beasts, men or gods.

to
The
is
worlds are linked
one another hy bonds of service.
Give-and-take
lh? law of the universe.
Duty implies
obligation.
Chap.
XXXVtt.
UTTARA-TANTkA.
tC^
Children of the families in which the gods, the Pitris
(departed fathers), the Brahmans, the

tors
pious, the precep-
and the seniors and the guests arc not properly

rulc.i
worshipped and attended upon and wherein the

cleanliness
of
and
virtues arc not
observed and the

offerings
memgods
bers of which do not
make
daily
live
to
the
and give alms
to beggars
and
on food prepared by
others and cat from broken bowls

bell-metal
and plates of Indian
would be the proper persons
whom
you might
strike with impunity, and by your malign influence
lay
shall
them
up with diseases peculiar

on their children.
of
to infant
life.
(It
be your duty
to sec that iniquities of the parents
are visited
least
Attack
them without
compunction
heart
and ample
to
you).
means
in
of
subsistence will be thereby secured
There the
their
parents of tho:-e
calamities and
children
will
worship you
you shall get plenty to live upon." 3B. Thus the Grahas came into being and began to
parents),
attack the children (of iniquitious

therefore that a child attacked
and
it
is
by a malignant Graha
Death or permanent
is
becomes very hard

disfigurement of
to
be cured.
any limb or organ

Grahas.
sure
is
to ensue
from an attack of Skanda Graha, since he

dreadful of
all
the most
the
case
of full-developed
attack by any other Graha should

incurable.
3.
be likewise held as
Thus ends
Sus'tuta
the thirty-seventh
chapter of the
Uttara Tanlra in the
Samhita which deals with the origin of the Grahas.
CHAPTER
Now we
shall discourse
XXXVIII.
with (the symptoms and) the therapeutics of the diseases

of the female* organ of generation
(Yoni -vya'pat
well
as
Pratlshedha). Causes : The

Vayu
build
i.
bodily (as
the
local)
of a girl of tender years, weakly
constitution
or
and dry organic temperament,

in
is
deranged and
aggravated
with a
consequence of her excessive indulgence

of
man
abnormally
developed reproductive
of generation
organ, and
on getting into her organ
(yoni) gives rise to different local vaginal diseases
which
become manifest through the presence

In the chapter on the enumeration
diseases which
affect
of the
symptoms
2.
of the aggravation of the three specific Doshas.
of diseases, the
the female
organ of generation
kindsf.
(yoni) have been classified into twenty different
The
injudicious conduct of life
which
is
usually found in
females, menstrual disorders,
the diseased
of the
set
or defective
girl),
nature of the seed

accidental
of
(of the parents
or
any
cause
may
be
fairly
clown
as
causes
these female
3.
diseases.
Now
hear-
them discussed
separately.
Enumeration and Classification :

Udavarta (dysmenorrhea), Bandhya
(introversion of the
uterus),
(sterility),
Vipluta
or
Paripluta (retroversion
five
retroflexion of the uterus)

*
and Vatala are the
kinds
The leim "yoni"

lines
is
here used in a very conip.ehensive

ol generation,
'.
sense and
means the whole female organ

+ These three
t.,
Uterus, Vagina, etc.
correspond
verbatim
with three lines in the

Chapter
Cbaraka
Gtbana).
Samhita (vide Charaka Samhita,
XXX,
Chikitsita-
Chai>.
XXXVIII.]
UTTARA-TANTRA.
165
of Vtftaja vaginal diseases. Rudhirakshara (menorrhcea),
Vamini,
Sramsini,
Fittaja ones.
Puttraghni and Pittala are the Atyananda (nymphomania), Karnini, the
in
two kinds of Charana and Slaishmiki find their origin Kapha, and Shandi, Phalini, Mahati, Suchivaktra and Sarvaja arc said to be due to the aggravation of
the three Doshas.
4.
Symptoms of the Vataja types

suppression
of the
: An
Udavarta' yoni discharges painful and frothy menses and a Bandhya' yoni is marked by the absence or
catamenial flow.
in
local
pain
in
is
always complained of
Viplttta'
yoni
is
and
Faripluta' yoni an excessive
local
pain
experienced
at the time of sexual congress.
A Va'tala' yoni is marked by an aching and piercing pain in the organ which seems rough and numbed. The peculiar pain due to the
derangement of the Vayu
types of the
scries.
5.
is
also
felt
in
the
first
four
Symptoms
the passage
is
of the Pittaja types :

in
Discharge of the menses with a burning sensation

the
characteristic
kshara' or Rudhira-kashra' yoni.
symptom of LohitaThe yoni from which

is
the semen charged with the menstrual blood,
ejected
with
Vayu
or
(sound)
is
called Va'miui
the
coming out
and a
of a
(prolapsus) of the organ (uterus)

difficult
when
disturbed
painful parturition arc the
symptoms
Frasramsini yoni. The yoni in the case of repeated abortions due to the excessive discharge of catamenial
blood
during
the
period
'of
gestation
is
called
Puttraghni.
suppuration
in
An
which
extremely
burning
sensation
and
four
the organ
attended with fever are the

a
Pittala'
symptoms
symptoms
mark
yoni.
The
previous vaginal diseases are also marked by the specific

of the aggravated Pitta.
6.
1(36
THE SUSHRUTA
SAMlIITA.
[Chap.
XXXVIII.
Symptoms
An
of sexual
pleasures.
of the
Kaphaja types :
in
Atyanandst yoni knows no satisfaction
matters
polypii
Hemorrhoid growths or
due lo the aggravation of Kapha and vitiated blood appear on the Karnini yoni.
of
act,
living
In an
membrane of the organ in a Acharaua' yoni a greater quantity

the
in
ovum
and
is
is
secreted before
completion of
sexual
in the
other
/. ?.,
an Aticharana' yoni the
semen
not retained in consequence of over-indulgence.

is
Sleshmala' yoni
itching
very
cold
and slimy and has a

four
local
sensation.
The
(lit.
first
kinds of this
series of vaginal
disease
diseased
of
vagina) arc also
characterised
by the
actions
the
7.
deranged and
aggravated
Kapha
in the locality.
Symptoms
types The
:
of
the
Tri-doshaja
the
yoni of a
woman marked by
non-development
the
non-
appearance of the menses,
of her
and canal) which

breasts
the
is felt
roughness of
at the
vagina (vaginal
is
time of coition
called
Shandhi.
A woman
when
of tender years,
her girlhood,
ravished
by a
who has just man with an
passed abnor-
mally developed genital

of a Phalini yoni.
called
organ, offers the illustration
An
extremely dilated
vagina
is is
Mahayoni, while an extremely constricted one

SucMvaktra*
all
(lit.
called a
vulva).
a vagina with a needle-eyed

the
The yoni marked with
symptoms
is
of the
aggravation of
the three Doshas
said
to
be a
Sarvaja yoni. The four preceding kinds of vaginal malformations or diseascs^rc also due to the concerted action of the three deranged Doshas
in
the
locality
and these
last (five)
8.
kinds of Tridoshaja vaginal diseases
are incurable.
MedtCal Treatment : The

ment
of the
medical treatdiseases
curable types
of vaginal
should
Chap. XXXVIII.]
UTTARA-TANTRA.
67
begin with the administration of a Sneha according to

the Dosha
involved
in
each case and applications of
properly charged vaginal
enemas
In
(Uttara-vasti) should
be particularly resorted
to.
cases
where the yoni
(vagina) would feel cold, rough,
by diminished
sensibility
it
of
numbed and be marked its mucous membrane

be
fomented, in the
the flesh of aquatic and
during sexual action
should
manner
of Kumbhi-sveda, with
;
and drugs of the Madhura group mixed with Ves'avara (all described before) should be
A'nupa animals
applied
(in
the form of poultice) to the part, and

cotton
plugs
in
of oil-soaked
should
be constantly retained
lotions
c.
the yoni (vagina).
Proper vaginal
/
and washes
injection
as well as the measures of Purana
medical
(prepared with the

be employed
;
Vayu-subduing drugs) should also

measures should be adopted
in
cooling
the cases marked by dryness and sucking pain (Osha and
Chosa)
filled
in
the affected locality.
The vagina
five
should be
kinds
fetour
up with the powders of the

secretion,
officinal
of drug (Pancha-kashdyd) in a case,
marked by
in
and slimy mucous

ing.
and the decoction of the

washpurify-
drugs of Rajavriksh&di group should be used
Pindas
(balls')
of disinfectant (Sodhona, urine
lit.
ing)
salt,
drugs pasted with cow's
and saturated with
should be inserted into the vagina marked by the
discharge of pus.
T2.
A yoni
sensibility
(vagina)
marked by an
fumigated
itch
and impaired
together,
in
should be
with the vapour of
Vrihati and the two kinds of Haridrd j)takcn
which should be as well inserted and retained

vagina
(in
the
the shape of a plug
plug or stick com-
posed of a paste of disinfectant (or Sodhana) drugs should

be inserted into and
prolapsing
retained in a
Karnini yoni
and a
(Prasramsini) yoni should be fomented with
168

clarified
[Chap.
XXXVIII.]
hot milk and rubbed with

then be restored to
its
butter.
It
should
proper place and, being pasted
with Ves'avara, should be duly bandaged. 13
14.
Diet. Suti,
drugs) should
Asava, Arishta, (wines of medicinal

to
be prescribed according
the
Dosha
involved in each case and the patient should

to take
be
made
the expressed juice

diet
of garlic {Las/tuna) every

consist
morning and her

meat-soup,
etc.
should
mainly of milk,
15.
We
have
already
described
the
nature
of
to
the
medical treatment
respectively pursued
and the
in
remedial
agents
be
of
and prescribed
complaints,
cases
for diseases
the semen,
menstrual
affections
of
the
of
mammae,
child
impotency,
diseases
of false
presentation
and
during the period
of
pregnancy
and motherhood,
and
all
those
may
be employed with
equal benefit in these diseases

sex.
arise
peculiar to the
etc.)
female
Other diseases (such as fever
which
in
may
the
from immature delivery should be treated

in the respective
16,
manner described
treatment of those
diseases in the Uttara Tantra. Thus ends

the
thirty-eighth
chapter of
the
Uttara Tantra in the
Sus'tuta Samhita which deals with the
therapeutics of the female organ o
generation-
Here
Tantra,
ends
the
Kaumarabhritya
CHAPTER XXXIX.
Now we
medical
shall
discourse on
the (symptoms
and)
treatment of Fever
(Jwara-PratlShein
dha). i. The Divine Dhanvantari, who

tion arose out
his
first
incarna-
of the primordial
of ambrosia on his head,
(when
it
Ocean with a pitcher was churned by the

conferred immortality
gods and the demons) and
who
on Indra and
his
brother celestials, was
thus interro-
gated by his disciples, Sus'ruta and others

instructed
subject
us, all
"You have
O, you, the foremost of physicians, the

the
on
concomitant distressing symptoms
(Upadrava) of Ulcer iVrana).

outline
Now
let us
have a general
and detailed description of the concomitant distressing symptoms, physiological and pathological conditions e.g. fever, dysentery, cough, etc.
patient.
showing
a
in
an
ulcer-
An
ulcer attended with
many
cured
concomitant
with the
symptom
greatest
Upadrava)
difficulty
in
may
be
only
and
such
concomitant
symptoms
loss
appearing
an emaciated
and weak
ulcer-patient,
take time to
Dflshas and
be subdued because of the

Dhatus.
of his
Hence illumine
us fully,
sir,
on those diseases affecting the whole body (and not localised in any particular limb or organ) observed by
the holy sages of yore, and instruct us the nature and application of the therapeutic agents to be employed
in their cure".
2.
Description Of Jwara :To

the disciples, the divine physician,
as follows
:
the query of
"First
Dhanvantari replied
on the nature and
bodily distempers
2?
shall discourse
origin of fever for
it is
the king of
all
IfO
in as
It
THE SUSHKUTA SAMHITX.
[Chip.
XXXIX
much .as it affects the whole orgainsm at a time. was begotten by the fire of wrath of Rudra, and afflicted the whole animal world or organic kingdom. The different names by which it is designated amongst the
different kinds of animals are well
is
known.
Its
presence
perhaps an indispensable
condition under which a

or
creature can
come
it is
into being
can depart from this
life,
and hence
called the lord of ailments

fever.
and none
but a god or
man
can bear the heat of
Men may
in
become gods by virtue of their good deeds (Karma) life and would again revert to humanity (mortality)
the close of their blissful effects, and
it
at
is
this divine or
godly element
simply
in
man
its
that
enables
him
to
bear this
abnormal heat of fever whereas the lower animals are

lost
under
influence.
3.
Definition and Classification of FcVCr The disease which is marked by the arrest
:
of the flow of perspiration,

skin),
by increased heat
(of the
by pain
all
over the body and by a sense of

is
numbness
into
in the limbs,
called
Jwara
(fever).
Cases
of fever of which the causes are numerous, are divided

eight types
according
as they
are
brought on
through the derangement of the three bodily Doshas

separately, or through that of
nation or through their
any two of .them in combicencerted action, or by any ex*
traneous causes*
4-5,
When
specific
the Doshas of the
body are deranged by
their
respective aggravating causes and in the hours of their
dominance^ they bring on an attack of fever by
* There can be three cases of fever due to the derangement of the three
Doshas separately, three cases from the derangement of two of them

These are the seven cases while that due
at a
time and one case only from the concerted action of the three Doshas
to an extraneous cause is the eighth.
Pitta, at
t Kapha
{))*
is
aggravated in the morning,
noon and Vayu, in

the
evening.
Fever follows a distinct periodicity determined by
Chap.
XXXIX.
UTTARA-TANTRA.
171
spreading through the whole organism.
The deranged
bodily Doshas augmented or enraged by their specific
aggravating causes, enter into the Amas'aya and soon

find
lodgment
in
the Rasa
(
(lymph-chyle) by virtue of
).
their
inherent heat
Ushman
The
Doshas
the
thus
deranged and
mixed with
Rasa
obstruct
Rasa-
carrying and sweat-carrying ducts, impair the digestive

fire
and cxpelthe inherent heat (Ushman) out of

and spreading
all
its
seat in the Pakvas'aya,
over the body
during the period of their specific dominance, bring on

fever
and causes
its rise
and exhibit, their

6
specific
colour
on the
skin, etc. (of the patient).

:
7.
Pathology
application
The
etc.,
improper
and
excessive
of Sneha,
any kind
in
of blow, the pre-
sence of
any
other
affection
boil
the organism,
ulcer
in
sup-
puration (of an
over-fatigue,
existing
or
the body),
any process of physical waste, indigestion, introduction of any extraneous poison or poisonous matter into the system, infringement of any habitual
rule of diet
ty of seasons, the
and conduct, the sudden change or contrariesmelling of any kind of poisonous

grief,
herb or flower,
the malignant influence-? of inaus
picious stars or planets (at the time of birth),
dynamics
time of aggravation of the deranged bodily Doshas ushering in the attack
An
attack of fever due to the deranged
Kapha comes on
Pitta
in the at
morning or
after
dusk
one due
to the
to
the deranged
comes on
noon or mid-
night, one
due
deranged Vftyu comes on in the afternoon or during

In a case of Dvi-doshaja fever (due
ig
t<j
the small hours of the night.
the
combined action of the two deranged bodily Doshas) the heat

vated during the specific hours of domination of
continues through those
peculiar
to
the.
aggra-
stronger
Dosha and
attacks
each of them.
All night
should be regarded as connected with the action of the deranged Pitta.
In
a Tri-doshaja case,
strongest
the
is
heat comes on
with the specific hour of the
one and
abated on the approach of the time peculiar to the

in the
weakest.
Vayu
is
aggravated
Varsha (rainy) season,

(spring).
Pitta, in the
S'arat (autumn)
and Kapha, in the Vasanta
t/2
of deadly
?HE SUSHRtfTA SAMHITX.

incantations or charms,
superiors),
[Chp.
XXXIX.
Brah-
curses (from
manas and
effects
any fancied dread or anxiety,

or
of miscarriage
life
first
untimely parturition, injudi-
cious conduct of
delivery,
on the part of a
woman
after
and the
fever,
accumulation of the milk in the

the causes which
lead to
breast (after
delivery) are
an attack of
of the
the
derangement and aggravation

principles,
fundamental
vital
(Doshas)
of
the
body being the existing

stomachic heat
is
origins
of the disease.
The
propelled by the extremely deranged

of the
in
and aggravated Doshas
body,
and, coursing
through the wrong channels

incarcerating
a
rise
the orgainsm, tends to
escape through the surface (the skin of the body) and, by

the vitiated
Rasa Dhatu generally causes
in
the bodily temperature and puts a stop to

8
perspiration.
9.
Premonitory Symptoms : A
fatigue
sense
of
or
physical
languor, aversion to
all
sorts of
work, paleness of complexion, bad taste

tearfulness
for
in the
mouth,
dislike
of the
cold
eyes,
air,
alternate
liking
and
the
of
heat,
and
constant
yawning,
of
aching
body,
vision,
of
the
limbs,
a sense of
disrelish
heaviness
horripilation,
for
food, darkness
depression
and a feeling of creeping cold in the body are the general premonitory symptoms which
Constant yawning, burning
to
usher in an attack of fever

of the
eyes and aversion
food are the special pre-
monitory symptoms of the derangement of Vdyu, Pitta and Kapha respectively. The derangement of
all
the three Doshas is marked by the presence of all the symptoms, while, in the derangement of any two
of these, the
4
special
symptoms
of those
two Doshas
appear.
10.
Symptom* of Vrftaja
fever : Shivering;
Chap.
XXXIX.]
fits
UTTARA-TANTRA.
173
irregular
of fever, dryness of the throat, lips and

of sneezing, par-
of the mouth, loss of sleep, stoppage
chedness of the skin, pain in the head, chest and limbs,

distaste
mouth, suppression (D. R. hardness) of stool and aching pain (in the abdomen) arc the
in
the
characteristics
of a
case of fever due to the action of

of the body.
11.
the deranged
Vayu
Symptomssleep, vomiting,
of
Pittaja fever : High

but disturbed
lips,
fever (hyperpyrexia), diarrhoea, scanty
inflamation in the throat,

delirious
in talks,
mouth
or
and
nostrils,
fits,
perspiration,
swoon
fainting
burning sensation
urine and
the body, loss of
consciousness, pungent taste in

of the stool, are
the
the
mouth, yellowness
eyes
of
and
vertigo
the
symptoms which mark
the
Pittaja type of
fever.
1 2.
Symptoms
passages
of
of the
Kaphaja fever :
pain
Heaviness of the limbs, shivering, nausea, appearance

of goose-flesh, excessive sleep, obstruction of the internal
the
body,
slight
(in
the
limbs),
water-brash, sweet taste in

the body, vomiting,
the mouth, slight heat in

mal-assimilation
(Aviindica-
lassitude,
pakata), whiteness (glossinss) of the eyes arc

tions
the
which
13.
point
to
the
Kaphaja
origin
of the
disease.
Symptoms
fever
:
of
the
Insomnia,
Tri -doshaja
or
difficult
vertigo,
laboured
breathing, drowsiness (somnolence), a sense of innertness

in the limbs, aversion
to food, thirst, swoon,
delirium,
numbness, burning sensation and shivering of the body, pain about the region of the heart, delayed assimilation
of the deranged bodily Doshas, (temporary) insanity,
blackish yellow coat
on
the
teeth,
blackness
in' the
and
roughness of the tongue, pain in the head,
'joints
r?4
THE SUSHRUTA SAMHItA.

in
[Chap-
XXXIX.
and
the bone, dilation of the pupil and cloudiness

eyes,
of the
talks,
pain and ringing in the ears, delirious

of the
living
inflamation
membranes
of the
channels (of the nose and of the mouth),
indistinct
sound
in
the mouth,
coma
(loss
of consciousness)
as
well as perspiration, scanty emission of urine
and
faecal
matter at long intervals, are the symptoms which are

exhibited in a case of fever due to the concerted action
of
all
the three deranged Doshas of the body

14.
fri-do-
shaja or Sannipataja)
AbhlnyeCsa fever :Now

whereof are as follows
rise of the
:
hear from
me
about
the peculiar forms of this type of fever the
symptoms
Where a slight or impcrceptibje

or a slightly subnormal temperaor
bodily heat,
ture attended with a subcomatose state, erroneous vision,

loss
of
voice,
injured
cracked
condition
of the
tongue, dryness of the throat,

perspiration
suppression
eyes,
of stool,
and
urine,
tearful
hardness of the
of
thorax
*,
aversion
to
food,
dulness
complexion,
other conin a
difficult
breathing and delirious talks and

specific
comitant symptoms are the

patient always confined to
indications
his bed,
it is
known by
it
the
of
name
of Abhiayisa, while
fever.
15.
others
call
a case
Hataujasa
An
almost
attack
of Sannipataja fever can be cured only

difficulty,
with the greatest
while others hold
it
to
be
incurable.
case
is
of Sannipataja fever attenAbhiuya's-t,

it
ded with somnolence
called
is
called
Hataujasa when the vitality of the patient is greatly diminished and it is called Sanny&a when there is
an innerrness of the limbs.
* "OTjfWlInir."
>s
16
reading in
place
of
<
different
is
qrgt fnjto
VT^T."
loan to
Tne
term ftw^j
more appropriately
applicable
tpqif
f^f
both grammatically and in sense.
Chap. XXXIX.]
UTTARA-TANTRA.
175
When
(in
a case of Sannipataja fever), the Ojo-dhatu

principles)
(one of the fundamental
of the
organism
being disturbed or agitated by the deranged and aggravated

Pitta
and Vayu,
gives
rise
to
shivering
and
into
numbness of limbs and makes the patient drop

fits
of
unconsciousness
whether
asleep
or
awake,
hor(in
and when there are somnolence

ripilation,
delirious talks,
looseness, of the
limbs and slight pain

is
the
body)this kind
of fever
called
Ojo-nirodhaja
fever (due to an obstruction or

tion of the Ojo-dhatu)
an overwhelmed condi17.
by the
experts.
The
disease, (in such cases) finds aggravation
on the
the case
18.
seventh, the tenth or on the twelfth
day
when
takes either a favourable turn or ends in death.
Symptoms
A
case
of
Dwandvaja fever :
is
of fever
which involves, and
due
to
the
combined action of any two deranged Doshas of the body, is called Dwandvaja fever and such cases are
classified into three different
types
(e.
g. Vata-pitta-fever,
Vata-s'leshma-fever and Pitta-s'leshma-fever).

distension of the
Yawning,
shiverthirst,
abdomen,
loss of consciousness,
ing
pain
in
the joints, emaciation of the body,
delirium and heat or increased temperature of the skin,
are the characteristic
symptoms of Vita-pitta fever (due

and Vayu).
Aching-
to the action of the deranged Pitta
pain (Sula), cough, the

coryza,
to
cold,
vomiting of Kapha, shivering,

of the limbs, aversion
are the
sense of heaviness
feeling of
food,
and a
general numbness,
The
fever in
that in
which
Pitta
which Vayu predominates gets aggravated on the 7th, predominates becomes aggravated on the loth and
to
that in
which Kapha predominates comas

According
to
be
aggravated
on the
I2th
day.
some
authority, however,
Abhinyasa, Hataujasa, and

10th
Sannyasa types of fever are pacified

respectively.
on the 7th,
and
12th.
day
Dalhna,
l?6-
[Quip.
XXXIX,
to the
symptoms of a
action
of cold
ration,
case of Vita-dleshma-fever (due
of the
deranged
Vayu and Kapha).

to food,
Sensation
and heat, aversion

epileptic
fits,
numbness, perspivertigo,
unconsciousness,
cough,
lassitude
and nausea are the symptoms which characPitta-rfleshma-fever (due

to the action
21.
terise a case of
of the deranged Pitta and
Kapha)*
of an
19
Even a small
in a
residue of the deranged bodily
Doshas
still
patient just
cured
attack of fever but
sufferring
from weakness and
indulging in injudicious
regimen of diet and

ed and aggravated
rule of conduct, is apt to
be augment-
by
the deranged
Vayu
of the body,
and thus begets five different types of fever lodged in any of the five specific locations of Kapha -f\ These five
types arc
known
as the Satata,
Anyedyushka, Tritiyaka,
\.
Chaturthaka and the Fralepaka
The
(residue
of the)
deranged Dosha of the body, shifting from one location

of
Kapha
to the next in the
course
of the entire
lines
day
* Dallana in his
commentary has quoted
in eight
with different
fever
wordings the symptoms of these kinds of

lines
Dwandvaja
and these
have been adopted by Madhava in his Nidana

:
The
lines
when
transtated would be thus

tion,
Thirst, unconsciousness, vertigo, burning sensaof Vstta-pitta-fever.

'
somnolence, pain in the head, dryness of the mouth and of the throat,
vomiting, horripilation, disrelish for food, giddiness, pain in tbe joints, and
yawting
are
the
symptoms
Sensation of moisture
all ( f^fijfl )
over
the body, pain in the joints, excessive sleep, heaviness the head,
catarrh, cough,
of the limbs, pain in sensation of heat,
scanty perspiration, slight
and pulsation not too quick
nor too slow,

taste,
are
the
the
symptoms of V^ta-s'leshma-fever.
mouth, somnolence,
alternate
bitter
coating on
unconsciousness,
cough, disrelish for food,
thirst,
and varying sensation of heat and cold are the symptoms of
rileuhma-pitta-faver
+ The
and the
five
locations of
Kapha
are the Amas'aya,
chest, throat,
head
joints.
is
t There
another kind of
Vishama Jwara named Santata

it
(cf.
S'loka
31 of this Chapter) and

residue of the deranged
Dallana remarks that
is
begotten
whin
the
Dosha
is
lodged in
all
the five seats of Kapha.
Chap.
XXXIXO
UTTARA-TANTRA.
finds
177
in
and night, ultimately

(those) fevers.
lodgment
the
Amas'aya
(stomach) and thus brings
on the virulent attack of Of these the type known as the PralfrSosha (consumption) and though
it
paka appears
its
in cases of
attak
is
a mild one,
puts almost insurmountable

cure, brings
difficulties in
the
way
of
its
about a
loss or
waste of Dhatus (the seven fundamental principles of

the organism) and thus ultimately ends in death.
are cases of Vishama-jwara
There
known
as the
Viparyyaya
type (reverse of the

of the deranged
bodily
above type) which are the result Doshas being simultaneously

specific
located
in
two or four
authorities
its
seats
of the deranged
bodily
Kapha and
arc hard to cure.
22
23.
Several
generis in
hold
Vishama Jvara
to be suiidio-
origin.
But whether spontaneously
pathic
or
not,
an
extraneous fact (cither a

etc.
passing
psychic condition such as fear, grief,

of
or the presence
any foreign
poisonous matter
in
in
the
system)
is
always involved
of
Vishama
fever.
and intimately connected with a case The pre-dominance of the deranged
(tertian)
is marked in cases of Tritiyaka and Chaturthaka (quartan coming on every fourth day) fevers. A case of fever due to the abuse of any wine or ardent spirits as well as the one occuring
and aggravated Vayu
in
low land
to
at
the foot
of a mountain, should be
supposed
involve
predominant action of the

Pitta.
deranged and aggravated

fever
is
case of
Pralepaka
due
to'
the concerted
and aggravated Vayu and Kapha, of which the action of the latter should be regarded as" more dominant. Cases of Vishama fever ushered in by epileptic fits
should be regarded as the result of the
concerted action of any two deranged Doshas of the body.
24
25.
if lo-
The deranged Kapha and Vayu
of the body,
23
I7
[Chap.
XXXIX.
cated under the surface of the skin, produce cold (shivering) during the
first
tstage of fever,
while the deranged

its
Pitta brings on the characterstic burning sensation at

latter stage after the subsidence
of the deranged
Kapha
is
and Vayu.
In certain cases the burning sensation

Pitta
at
engendered by the deranged

(shivering) being brought
the outset, cold
on by the deranged Kapha

of the of
and Vayu
deranged
at the latter stage after the subsidence

Pitta.
Both these two types
fever
arc
brought on through the combined action of two deranged
Doshas of the body and of these two, the type which

ushered in by a burning
ly hard
is
sensation in the
body
is
extreme-
to cure.
case
of continued
fever resulting
as
is
from an abnormal
grief, desire, etc.)
psychic
condition (such
anger,
or due to any blow or hurt
likewise
hard to cure.
26
28.
man
it
Fever of the Vishama type attacks a
in
various
ways and
deranged
follows
a distinct periodicity,
being aggra-
vated during the six specific times of dominance of the

bodily
principles
(Doshas)
as
mentioned
the
before * in the course of day and night.

fever never finds complete remission,
This Vishama
in
(but lurks
deeper organic principles of the body) and produces a

sense of physical
langour and heaviness of the limbs

characteristic
its
as well
as
the
emaciation.
is
It is called
Vishama-jwara because
founded with
ing
its
abatement
always conconfound-
cure and
fact
remission,
and
this
the disease (fever) lies is due to the dormant in a very small degree in the deeper principles
that
of the vital organism to be patent
only at the slightest

fed with an insufficient
slightest exciting-
exciting cause, just as a feeble
fire
supply of
cause.
*
fuel,
becomes patent at the

XXI, Sulra-sthana.
29.
See chapter
Chap.
XXXIX.]
UTTARA-TANTRA.
.179
Seat of Vishama Jwara :Even

residue
a small
in the
of the deranged
bodily
Dosha, lurking
fever, is
system after the apparent cure of

a course of injudicious conduct
aggravated by
and
indifference to strict
regimen of
is
diet,
and thus
invites a fresh attack *
which
known
as the
Vishama Jwara.
its
case of
Santata
while a
(remittent or continuous) fever has
seat in the vitiated

;
Rasa (serum) and blood + of the

case of
organism
in
Anyedyah
body.
finds
location
the contaminated
as the Tri-tiyaka
flesh of the
The type known

third
(fat),
(tertian-fever
coming on every coming on
day) affects
the
principle of
Meda
while the one called Cha'turthaka

ev'ery fourth
(quartan-fever
is
day) affects and
infiltrated into
is
bones and marrow.

It
The
often
last
named
type
very dangerous.
brings on
a simultaneous terminates
attack of several
fatally.
other diseases and

authorities
Several
include cases of fever due

of evil
30.
to
the malignant influence
spirits
within the
category of
Vishama Jwara.
Duration of Vishama Jwara : The type

of fever which continues for
seven,
is
ten
or
twelve days
without any break or remission,

case of Satataka fever
is
called
Santata.
night.
characterised by two distinct

of
aggravations
of the
in the
course
day and
Fever
Anvedyushka
type comes on only once aday
and one of the Tri-tiyaka type comes on every third t. e. on every alternate day, while a case of Cha'turthaka
fever sets in every fourth day.
31.
case of fever
may
the
lapse into a
Vishama type even from the Very
commencement
of the attack.
t Vijaya Rakshita,
commentator on Midhava Nidana, says, on
the authority of Charak,
that
by the
term
Santata
are
meant here
both Santata and Satataka and that they have their origin in the vitiated
Rasa and blood
respectively.
ifco
[Chap.
XXXtX.
Influence Jwara. i Just

water
is
of
as
Vayu
ocean
is
on
Vishama
when
its
the
overflown
swollen up
bodily Doshas are aggravated
by the gusts of wind (Vayu), so the by the bodily Vayu,

kinds
floods
its
and give
tide
rise
to
different
of
fever.
Just
at
as
the water of the occean
the
shore
flow-
and
rolls
back
to
former
place
during
ebb-tide,
so
fever
being augmented by the deranged

rushes out of
itself
its
Doshas
in
of the body,
lurking place
the organism and manifests

skin)
(or
comes
to
the
surface of the
during
the hours of the specific
aggravation
of the
Doshas,
only
to
be driven back
of the
into the deeper tissues
and
vital
principles
body
during the period of their
specific
abatement, or to
be expelled from the organisiin at the completion of

their
perfect
32.
assimilation
in
or
elimination
from the
system.
Agatltuka Jwara ; A
any extraneous blow
light
case of fever due to
or injury
should be treated in the
and aggravation or in other words the nature of the deranged bodily Doshas underof
its
periodicity
lying, or involved in such a
case
should
be ascertained
from the periodicity of
its
aggravation.
is
case of fever
due to the
effects of
poison
marked by such symptoms,

diarrhoea,
to
as blackness of the face, burning sensation,
catching pain in the
region
of the
heart,
aversion
fits
food, thirst, piercing pain in the limbs, epileptic
and
extreme weakness.
the pollens of
Hay fever
is
A case of fever caused by smelling any kind of ( strong smelling ) herbs ( as marked by fainting fits, pain in the head
and sneezing. A case of fever incidental to an ungratified amorous longing of the heart, or due to any such ardent passion is characterised by aberration or
a distracted state of the mind, drowsiness, languidness,
Chap. XXXIX.]
UTTARA-TANTRA.
food, pain
at
l8l
aversion
to
the
cardiac
region and
speedy emaciation of the body.

of fever due to
terises
fits
Delirium marks a case
grief or terror
fit
and shivering characThirst and fainting
one due to a
of anger.
are the concomitants of a case of fever due to
any
curse, or
ushured in through the dynamics of deadly
incantations.
Anxiety, laughter, shivering and weeping

the
mark a
genii.
case due to
malignant influence of
evil
3334.
bodily
The
entire
is
Vayu deranged
and
aggravated
by
fatigue, physical
waste or by a blow spreads through the
organism and begets (traumatic) fever. There another kind of fever which is due to any extraneous
results
cause or which
from
the acute stage

It
of
any
other disease attendant on the body.
exhibits all the
symptoms
characteristic of each of the
deranged bodily
Doshas involved therein *
35
Gambhira fever and

A
case of
36.
its
prognosis :
by a
feeling
is
Gambhira
fever
is
characterised
of internal burning sensation in
the body (which
not
complained of in the
stool,
surface), thirst,
suppression of the
laboured or painful breathing and cough. Paleness
of the complexion, dulness of the sense-organs, emaciation cf the body, depression of the
of supervening
etc.) in
cases
mind f and presence symptoms (e. g. hard breathing, cough, of both Gambhira (inward or latent) and
* "Abhichar,'
means incantations
or Atharvan rites
,
by which disease,
death and any other injuries are brought about.
"Abhis'apa" means the curse pronounced by Brahmins, preceptors,

seniors
and
alters possesed of puissance.
Dallana says
this.
in his
commentary
that
some read a few additional
lines after
does not comment on those lines and further add that Jejjata does not read them. So we, too, refrain from
He, however,
translating those lines.
$2
THE StfSHRUTA SAMHITX
[Chap.
XXXIX
Tikshna (high) fever are the indications which point to

the hopeless nature of the case. 37
38.
slightly,
middling or excessively aggravated condi-
tion of the
deranged Doshas of the body forebodes the
continuace of fever for three, seven and twelve days

respectively, each succeeding
one being more

it
difficult to
cure than the
one immediately preceding
in
order of
enumeration. Thus
(the nature, causes
we have done with the description of and symptoms of) the different types
now
deal with the remedial measures
of fever.
We
shall
or therapeutic agents to be
employed
of
in these cases.
39.
Treatment :Draughts
filtered
(matured
but non-medicated) clarified butter should be given as
soon as the premonitory symptoms would
make
their
appearance and the patient would get

This
is
relief thereby.
applicable
only in a
case of the Vtftaja type of

in a case
fever while purgatives should be administered
of the Pitta] a
and mild emetics,
in a case of the
haja type under similar conditions.

doshaja and Tri-doshaja
should be adopted
in
In cases
of
KapDwi-
fevers, the foregoing
measures measures
according to the Doshas involved
each case.
In the cases in which emulsive
(Sneha-Karma) and exhibition of purgatives and emetics are forbidden, such measures should be employed as
would tend
(Langhana)
to
etc.
1
lighten
40.
:
the
system
such
as
fasting,
Fasting
fire
The
of
premonitory
and
the
actual
stages of fever are
various forms
is
like
those of
and
its
fume.
Fasting
pre-eminently the best
remedy as soon as the characteristic symptoms of the

disease
make
most
their
appearance distinctly and vomitin
ing
is
efficacious
a case marked
by
the
presence of the deranged bodily
Dosha
in
the Amas'aya
water-brash.
(stomach) and attended with nausea,
thirst,
Chap.
XXXIX.]
UTTARA-TANTRA.
183
Fasting should be continued as long as the least quantity

of the deranged
in the
Dosha or Doshas would remain
intact
organism, and light food should then be given

fully assimi-
with discretion after the Doshas have been

lated in (to) the sysmtem.
41.
Prohibition of Fasting :Fasting

hibited
in
is
proin
a case of fever due to a wasting process

incidental
to
the
body or

in
bodily
Vayu
or
appearing
consequence
lust,
of
any
etc,)
serious state of the

as well as in rases in
mind
(c. g.
anger, grief,
which fasting has been forbidden

I,
as in the chapter on Divi-vrana (Chapter

sthana).
42.
25
Chikitsathe case
Effect Of
of a patient
in
Fasting
Fasting
of
in
deranged and
dull,
whom the bodily Doshas of whom the digestive fire

an
asstmilatio/i
have been
has become
lead
to
the
fire,
deranged
producesrelish
Doshas
remission
for food.
and
kindles
the
digestive
of the
of fever, lightness
43.
body and
Satisfactory and excessive fasting Easy and natural passing of Vayu and stool
'
and
urine,
intolerable keenness
of thirst
and
appetite,
lightness of the
body,
sprightly, action
of the mind
and the sense-organs and a weakness of the body are

the
results
which spring from Satifactory fasting

thirst,
while such symptoms as loss of strength,

ness
(of
dry-
the
mouth),
insomnia,
vertigo,
doziness,
diffi-
fatigue and
such other supervening symptoms (as
cult breathing, cough, fever, hic-cup)
mark an excessive
water
is
fasting.
4445(boiled)
Tepid Water :Tepid

ing
of
appetis-
and
it
tends to disintegrate
restores
the
accumulation
Kapha and
the deranged bodily Pitta and
I4

to their
[Chap.
XXXIX.
tepid
Vayu
normal
condition.
is
The
use of
water which allays thirst

of fever due to the
highly efficacious in cases

of the deranged
actions
it
bodily
Kapha and Vayu,

of the deranged
effect of cold
as
tends to cleanse the internal
passages of the body and helps in the easy

bodily
is
Doshas
in
the organism.
its
movement The
inherent
water
just
the reverse and
cold tends to aggravate fever.
46
of
Pcy(
A
red
potion
consisting
water
boiled
viz.
with the admixture of the following bitter drugs
Gdngeya (Musta\
(Balaka) and
Ndgara,
Us'ira,
Pdrpata,
Udichya
sandal-wood should be given, when
cooled, for drinking in a case of Pittaja fever, as well as in
one due to the
effect of
any
in
liquor
or poison
*.
Peytf
prepared with digestive drugs should

patient
be given to the
it
when hungry
and
as
much
as
is
digestive,
appetising, light
febrifugal.
Tasteful decoctions of
thirst,
digestive drugs,
taste in the
which
alleviate
remove
for
bad
food
mouth, bring about a fresh

for fever,
relish
and prove remedial

seventh day
in
should be given after the
a case of fever which, in consequence of

in
a plethora of deranged Dosha
the system, would

of
fasting
not
abate even after the observance
and the
digestive
subsequent use of YavrfgU and where the
power of the patient has been impaired.
47
A
Dosha
49.
decoction of Panc/ia-mu/a assimilates the bodily

in
case
of Vataja
fever, while a decoction of
Musta, Katuka and Indra-yava mixed with honey (when

cold) proves curative in a case
of Pittaja
fever,
and a
decoction of the component drugs of the Pippalyddi
group helps the assimilation of the deranged bodily
Dosha
*
in a case
of
Kaphaja
ies
fever.
Decoctions remcwhen
cooled,
According to different anlhori

also
purely boiled water,
may
be given
in such cases.
Chap.
XXXtX.]
UTTARA-TANTRA.
185
dial to
each of the deranged bodily

in
Doshas, should be
case of fever due
administered in combination
to
the concerted action of any two deranged Doshas
of the body. a patient
decoction
should
not be given to
immediately after eating, drinking or fasting,

afflicted
nor to a patient
ness,
with
thirst,
extreme weak'
emaciation and indigestion.
So.
Symptoms
ment
of
of
Pakva-Jwara : Abate-
the
bodily heat, lightness of the body and
an easy passing of stool and urine are the indications
from which the assimilation of the deranged bodily Doshas should be presumed, and it is then that febrifuges should be administered
of the
according to the nature
deranged bodily Doshas underlying the case under treatment *. Some, however, believe that the
from the changes
Doshas.
51.
assimilation of the deranged Doshas should be presumed

in the
symptoms
characteristic of the
Symptoms of Ama- J wara

sensation
in
: A
crushing
sali-
the region of the heart, drowsiness,
vation, aversion to food, non-assimilation of the derang-
ed
bodily
Doshas,
suppression
of
stool
(and wind),
of heaviness
copious discharge of urine, laziness, sense

in
the abdomen, stoppage

dissatisfaction,
of perspiration,
undigested
stool,
somnolence, heaviness and numb-
ness of the
limbs, dulness of appetite,
bad
taste in the
mouth, a sense
virulence
of
physical
languor
and increased
and continuity of the attack of fever (abnor;
mal rise in the bodily temperature) arei the symptoms by which a learned physician should ascertain the
*
Some
read these two lines in a different way.
the non-assimilation (A'ma) of the deranged
by the presence of high
fever,
They would mean that Doshas would be presumed heaviness of the body and stoppage of the
the sign of their assimilation (Paka).
excreta (Mala), and the reverse
is
24
l86
[Chap.
XXXIX.
undigested state of the deranged bodily Doshas ushering,

in
an attack of
fever.
52.
Time for administering Febrifuge:

According to several authorities, medicines (febrifuges)
should be given
in
case
of fever after the seventh,
or according to others after the Febrifuges
tenth day of the attack.
may
be administered earlier in the cases of

the
Pittaja fever, or in
event of the deranged bodily

earlier.
Doshas being
fever
digested
An
administration
of (febrifugal) medicine in
is
an undigested stage of the

recrudescence of the disease.
sure to produce
Corrective,
(in
purifying and soothing (Samaniya) remedies

of
fever
case
with
undigested
(fever)
Dosha) helps
a
the
type.
lapse 53
of the
54-
disease
into
Vishama
(Mala)
The spontaneous motions

of a patient suffering
of
the
bowels
from fever should not be stopped unless they are excessive, vvhen the case should be
medically treated as one of Atisara (Diarrhea).
55.
Preliminary
purgative
acute
etc.)
Treatment: A
even
in
suitable
should be administered
if
case of
fever
the
digested
in in
Malas
(fecal
matter
are accumulated
the internal passages of the

as
Koshtha (abdomen),
the organism in that
much
as their presence in
undigested state
may
usher
in
an attack of Vishama Jwara attended by distressing symptoms, or may produce loss of strength. Hence they should be eliminated from the system with the helf
of emetics,
etc.
Emetics, Asthapana-enemas, purgatives,
S>irc~virechana
and errhines should be
successfully
em-
ployed for the purpose.
Etnatics should be at the outset
exhibited in a case of Kaphaja fever where the patient would be found to be a person of considerable physical strength, and pnrgatives should be given in a case of
Ctap. XXXIX.]
tfTTARA-TANTUA.
l8^
fever
marked by the predominant

(intestines).
action of the derang-
ed Pitta in the event of there

bowels
being laxity of the
Nirudha-vasti should be applied

in
in a case of
Vataja fever attended with aching pain
the limbs and with Udavarta (obstinate constipation of the bowels), whereas
Anuva'sana-vasti should be presif
cribed for a patient with a strong appetite,
there be
Siro-
pain in the regions of the back and the waist,
virechana (head-purgative) should be adiministered in of the deranged cases marked by the accumulation
Kapha
in
the
head, as the pain in and heaviness of
the head would be relieved, and the sense-organs roused
up thereby
to their
normal functions.
56- A.
plaster composed of Deva-ddru, Vacka, Kushtha,
S'atdhvd, Hingu and Sitindhava pasted
together with
Kdnjika should be applied lukewarm to the

in a case
abdomen
if
of fever
attended with painful tympanites
the patient be weak, whereas a medicated plug (Varti)
prepared with the above drugs should

the anus in a case
the bodily
be applied into
of
marked by the upward coursing

attended with
suppression
Vayu
of stool
and
urine,
Pippali,
and Yava'gU prepared with Pippali, roots of Yamdni and Chavya should be given to the
it
patient
as a potion,
56.
being remedial for the deranged
bodily Vayu,
Administration of Ghrita: The residue

of the deranged bodily
Dosha having lurked

fever
in the
system
(of a patient) even after the exhibition of proper emetics
and purgatives, the
should
be
if
remedied
by
draughts of medicated clarified butter,

the patient be sufficiently dry (Ruksha).
the system of
57.
A weak
of soothing
patient with only a small
quantity of the
deranged bodily Dosha should be treated with the help
(Samaniya) remedies.
Pasting should be
lS8

all
[Chap.
XXXIX
the principal cure for
types of fever due to (Santar-
pana) over-eating
etc.,
provided the patient be found to

58.
possess sufficient strength.
Diet
Diluted
barley gruel (Yavagu) should be
given to a patient constantly feeling thirsty and with
impaired digestion.
mixed
in
with
Powdered parched corn (paddy) honey and water should be given

to
copious quantity
patient suffering from
the
after-effect of liquor,
and
afflicted
it
with vomiting,
thirst,
burning or perspiration and

duly digested, by meals of
should be followed,
rice-soup
when
and
from
meat-soup.
A diet
consisting of boiled
rice
mixed with meat-soup

an attack
should be given to a
of fever
patient suffering
marked by the preponderance of the bodily

as
in
Vayu,
fasting
in
as well
mild type * of fever due to

physical labour.
consist
or
over-fatiguing
The
diet
a case of Kaphaja fever should
of boiled
rice
it
and of Mudga
consist
pulse.
In
case of Pittaja fever
should
of boiled rice
and a soup of Mudga
pulse and be taken,

sugar.
In a case
when cold, with the admixture of marked by the concerted action of the
Pitta,
deranged Vayu and
the diet
should consist of
of)
Mudga. soup mixed with (the expressed juice

laka
or
Ama-
Dddima.
In
case
of Vata-s'leshma fever
to
in
the diet
should be prescribed
be taken with the
Soup of lender radish, while

type
it
one of Kapha-pitta
should consist of the soup of the leaves of

59
Nimba
and Patola.
60. Ltfja-tarpana powdered parched corn (paddy) mixed

should be
is
with a copious quantity of water and with honey (and

sugar)
*
.
given,
quoted by
instead of any other diet (e.g

S'reekantha Datta in his commentary
This passage
on Cbakra-datta wherein he does not read

Ing appears
lo
sj^ (mild
type),
and his read-
be the better one,
it
being supported by Charaka as well.
Chap. XXXIX.]
UTTARA-TANTRA.
to a patient
suffering
89
boiled
rice)
from fever marked
by burning sensation, vomiting, thirst and weakness. Yavdgu is not beneficial in summer as a diet in
a case of Kapha-pittaja fever or in a case of Rakta-pitta
(Hemoptysis
?)
or in the
case of a
habitual drunkard.
Such a case should be treated with the soup of any

pulse or of the
meat of Jangala animal with or without

61
any acid
juice.
62.
Prepared barley mixed with any old wine would

prove beneficial in cases of (fever accompained by) a
dullness
of
appetite.
Takra (butter-milk or
whey)
mixed with the powdered Tri-katu should be given in case of disrelish for food due to the action of the deranged Kapha. 63-A.
Milk as a diet: Milk may
be given with
advantage in a case of chronic or lingering fever

in the system,
mark-
ed by the scanty presence of the deranged bodily Dosha
by emaciation of the frame and by mental

a case of Vata-pittaja fever
depression
as well as in
accompained
by dryness of the organism and nonemission or otherwise of the deranged bodily Doshas as well as in a case of fever marked by thirst or burning
But milk taken
is
sensation.
in
a
63.
case
of fever in
its
acute stage
highly injurious.
light diet for
A
as,
spare and
all
observed in
cases of fever,
weak person should be when its intensity abates,

a
it is
otherwise by a heavy diet,

diet
aggravated.
proper
and wholesome
even
if
should be given in a case of fever
the patient would
show a
positive
aversion to
it
since the
want of food
it, is
at the proper time or to be followed
when
the
system craves for

of the body,
sure
by the waste
and
is
may
bring about death in the end.
food which
;
heavy of digestion (Guru), or secreting Kapha-producing) in its effect should by no means
i&D
THE SUSHRUTA SAMH1TA.
tChap.
XXXlX.
be taken nor should food be taken at an improper time,

since such a food
which
is
not beneficial,
(in
is
neither
conducive to longevity nor to happiness

fever).
case of
64
66.
(such as milk or essence of meat)
light diet
in
may
be given
copious quantity and with advantage to a

attack
patient emaciated through a long and protracted
of Satataka or as
Vishama
fever.
The soup
of such pulses
Mudga,
Masura,
etc.
Chanaka (gram), Kulattha and

be given with benefit as diet
fever.
Makushtaka,
to the
may
>
hungry patient suffering from
67.
Meat-diet
Ena,
Pnshata,
The
meat
kinds
of
Ldva, Kapinjala,
Sarabha,
(different
Kdla-fuchchha,
of
Kuranga,
S'as'a
Mrig&mAtrikA
(hare)
deer) or
may
be prescribed as diet for a fever-patient

to
accustomed
authorities,
the
use
of
animal food
*.
Several
the use
however,
do
not recommend
of the meat of Sdrasa, Krouncha,
Mayuta
(peacock),
Kukkuta (cock) and of

to
its
Tittira in cases of fever,
owing
its
heaviness (as regards digestion), as well as to
heat -making potency. (We, too, subscribe to this opinion
with a certain limitation)
The
use
of the
flesh
in
of
these animals may, however,
be recommended
case of fever in
moderate quantitiy. and at proper time

is
provided the fever
marked by a preponderance of
67.
the deranged bodily Vayu.
Prohibitions in fever : A
should
forego baths, washing
(
fever-patient
Parisheka), plunge-bath
(Avagaha. D. R. Pradeha
course and any cold
plaster),
anointments, emul9exual
inter-
sive potions, day-sleep, physical

articles or
exercise,
any emetic or purgative

may be
given
etc
)
* According to Charaka, the meat-soup, in cases of fever,
"% Charaka also holds the same opinion as
at without the addition of an acid juice (e.g.
Didima, A'mlaki,
Sus'ruta.
Chap.
XXXIX
UTTARA-TANTRA.
a time even after his recovery)
till
191
medicine
,(for
he
is
restored to his
wonted strength and vigour. *

prejudicial acts
68.
Any
weak
fever
of the preceding
done
in
state of health,
closely following a recovery
from
may
bring
on a relapse which invariably conjust as fire
sumes the body

tree.
does a dried and sapless
These
rules,
therefore, should be strictly followed

till
after
recovery from fever
the fundamental Principles
body have returned to their normal condition health and strength is fully regained. 69. the and A very small amount of physical exertion, in cases
of the of fever,
is
likely
to
usher in an attack of fainting

in
fit
and hence the patient

ed
such cases should be supportor
when he
sits
taking his food

or
passing urine or
stool.
An
the
emetic
purgative
after
(Sodhana) remedy
the subsidence
of
resi-
should be resorted to even

fever in
case
where the continuance of a

in
due of the deranged Doshas

food, weariness of the
its
the organism
would
be apprehended from such symptoms as aversion to

limbs, discoloration of the body,
fever-patient emaciated through
evacuations,
etc.
prolonged suffering should not be largely fed at a time

(D. R. should not have a bath)
and
70
in haste
i.e.
until the
patient recruits his strength in as

to a fresh attack of the disease.
much
as
it
might lead
72.
factors.
All
peutic
cases
of fever should
be remedied with thera-
agents antidotal to
the exciting
The
first
principal
pathogenic
cause or causes should be

in
removed and remedied

*
a case of fever';due to bodily
Additional text : A
patient suffering from acute
fever should
fatty
forego also the use of astringent, heavy
and dry food as well as
and secreting food.

anger, grief,
etc.
In short he should also discourage mental emotions of

as well as
the use of newly collected corns,
Thfc
is
evidently Dallana's reading.
193
[Chap.
XXXtX.
exhaustion, waste or hurt.

fever incidental
to
An
attack of (peurperal)
miscarriage or to the spontaneous
accumulation off milk in the breast of the mother after

delivery, should be medically
treated
by an experienced
physician with Dosha-subduing (Sams'amana) remedies
according
therein.
to
the deranged
shall
bodily
Dosha
the
involved
recipes
Now we
deal
with
of
Dosha-subduing (Sams'amana) decoctions be

advantageously
which may
fever.
employed
in
all
types of
7374-
Sams'amana decoctions
J'wara: A
decoction
for Vfta-
duly
prepared of Pippali,
Satapushpd and Harenu should be given with the admixture of treacle in a case of Vdtaja fever or a cold infusion % of Guduchi should be taken by
Sdrivd, Drdkshd,
the patient. Similarly a decoction of Vald,
Darbha and
of the
cla-
S'wa-danshtrd boiled
down
to
quarter part
original quantity of water

rified butter
;
and mixed with sugar and
or a decoction of
5 atapushpd,
Vachd, Kush-
tha,
Devaddru,
Harenukd, Kustumburu
Nalada and
Musta mixed with sugar and honey should be given to a

patient in a case of Vataja fever.
shd, Guduchi, Kds'marya,
decoction of Drdk-
Trdyamdnd and Sdrivd mixed

*
with treacle should be prescribed in a case of Vdtaja

fever.
potion of the expressed juice of Guduchi mixed

equal
with
in a
an
quantity
of that
of S'atdvari
and
with treacle proves almost instantaneously efficacious

case of fever of the
same
type.
Rubbing of the
should
X According
to
Dallana the cold infusion of Guduchi
be
;
given in a case of Vateja fever involving the action of vitiated Pitta also
whereas the decoction duly prepared of Guduchi should be prescribed in a case of Vataja-fever, the vitiated Kapha is also involved. if, Cold
infusion is prepared
by keeping over-night a quantity of the drugs immerinfusion thus prepared

is
sed in hot water.
The
used in the morning.
Chip, XXXIX.]
UTTARA-TANTRA.
clarified
193
as
body wjth (Sveda) and
butter
as
also
well
fomentation'
plaster
should
be prescribed under
75
certain conditions in the present disease.
Si.
Samsamana decoctions
Jwara
Us'ira,
:
red sandal wood, Parushaka and Madhuka (Moul) flowers duly boiled and mixed with a proportionate quantity of sugar (when cold), or a decoction of the drugs of the Sdrivddi group duly mixed with sugar, or a decoction of the drugs of the Utpalddi group and Yashti-madhu, * or a cold infusion of the drugs of the same group mixed with sugar would cure a case of Pittaja fever.
for Pittaja
decoction of S'ripami,
similar preparation
of Guduchi,
taken,
Padmaka, Rodhra,
cold,
Sdrivd and Utpala would prove beneficial
when
and
of
with sugar
82-84.
in cases of Pittaja fever.
decoction
or
of
Drdkshd
the
Aragvadha, or -of
sweet,
bitter-or
Kds'marya,
cold,
of
drugs
astringent groups mixed with sugar and used,
when
would alleviate
of
thirst
and
the
severe
burning,
body (in a case of Pittaja fever). The stomach should be vomited out by water saturated with honey large draughts of cold whereby thirst (in a case of Pittaja fever) would be
sensation of the
contents
the
Milk duly cooked with the decoction (of barks or twigs) of the Kshiri-Vriksha (milk-exuding or with Chandana or with any other cooltrees),
alleviated.
ing drugs should

externally) as a
be used
relief
cold
(both internally and

internal
for
an
sensation
of
burning in a case of Pittaja fever.
85
87.
Vas/tti-madAu,
Draughts of water
with Padmaka,
* Yaihti-madku
is
comprised in the drugs of the Utpalddi group.

of this cleeoction,
Hence
in
preparation
two parts
of
Yaskti-matihu
should be taken-
25
194

(white
lily),
[Chap.
XXXIX.
parched
Drdkskd, Paun&arika
barley, Us'ira,
in
Utpala,
fruit
Samangd and Kds'tnari

(in
steeped there-
and
stirred
and kept overnight and then mixed and

the morning) would
taken with honey
give relief
from fever and burning sensation and a plaster of the
same drugs should be applied over the scalp in a case of fever accompained by dryness of the tongue, the Pastes of the palate, the throat and of the Kloma. polens or filaments (Kes'ara) of Mdtulunga mixed with honey and Saindhava salt, or of Dddima mixed with sugar, Drdkshd and Kharjura (date) as well as
gargles prepared from these drugs should
in
be retained
the
mouth with
a view to
removing
its
bad
taste.
8889.
Sams'amana decoctions for KaphaJa Jwara A decoction of Saptachchhada, Gudti'
chi,
Nitnba and Sphurjaka mixed with honey, or of TriNdga-Kes'ara, Haridrd, Katurohini and
Indra-
katu,
yava, or of Chitraka, Haridtd, Nimba,
Us'ira, Ativishd,
Vacha, Kushtha, Indra-yava,
with honey and pulverised
Murvd and Patola mixed Markka (black pepper) should
be given
in a
case of
Sdrtvd, Attvishd,
Kaphaja fever. A decoction of Kushtha, Puru (Guggulu), Durdlabhd
and Musta, or of Musta, Vrikshaka-seeds (Indra-yava), Tri-phald, Katurohini and Parushaka will be found to be equally efficacious in the case of Kaphaja fever.
90-94-
Treatment of Kapha- Va^taja Jwara:

A
decoction of the component vriksh&di group
course,
members of the Rdjamixed with honey and taken in due

in
would readily prove curative
a case of fever
due to the concerted action of Vtfta and Kapha. The exhibition of the decoction oiNdgara, Dhanydka, Bhdrgi, Abhayd, Devaddru Vaclid, Parpataka, Musta Bhufifca,
t
Ch*p. XJCXIX.]
tfTfARA-TANTRA.
tg$
(asafcetida)
and Katphala mixed with honey and Hingu
would be attended by almost instantaneous benefit in the present type of fever accompanied with bronchitis,
cough, asthma,
constriction
of the throat, hic-cough,

at the chest
swelling in the throat

at the sides. 95
and aching pain
and
96,
PItta-S'leshmaja Jwara: A
and
Vrisha (Vasaka) and
decoction
duly prepared with Eld, Patola, Tri-phald, Yashtydhva,
of Katuka, Vijayd,
fiata&a,
mixed with honey, or one (Haritaki), Drdkshd, Musta and ParVacha, Parpataka, Dhanydka,
or
of
Bhdrgi,
Hingu, Abhayd, Ghana, Ndgata and Kds'marya mixed

with honey would prove efficacious
in a
case of fever
due to the combined action of the deranged Pitta and

Sleshma'-
Similarly two Tola-measure of powdered Katuka and sugar dissolved in warm water proves
curative equally in a case of the present type.
97
100.
Ama-
A
laki
decoction
of Bhu-nimba, Guduchi, Drdkskd,

treacle,
and S'athi mixed with
or of Rdsnd, Vrisha
(Vasaka), Tii-phald and fruits of Rdja-vriksha proves

curative in a case of fever
due
to
the combined
101
action
of the deranged
Vdyu and Pitta
102.
remedial
in
Drugs
and
therapeutic agents
to
each
of
of the specific deranged Doshas
involved
case
the Tri-doshaja type should be employed in combination

for
cure
according
to
the
predominance
of
each
Dosha.
(white
potion of milk duly boiled with Vris'c/ifka
Punarnava),
Varshdbhu
(red Punarnava),
Vilva
and water, but frdrn which the water has entirely evaporated would prove curative in Tri-doshaja fever. The pith and marrow of a S'irisha tree duly mixed with milk (Weighing eight times that of the drug) and with water
weighing three times that of the milk, should be boiled
down
to
the quantity of the milk which,
if
administered
10
TliE
SUSHRUTA
SAMlilTX.
[Chap.
XXXIX.
as a drink would prove curative in Tri-doshaja fever.
potion of the decoction* duly prepared with the roots of
Na!a and of Vetasa (cane) and Murvd and Devaddm

would prove remedial
fied butter
to
this
form of
fever.
Clari-
mixed
with the decoction of Tri-phald should

attack of Tri-
be given to a patient suffering from an

doshaja fever.
\
103
106.
water with benefit to a patient
it
Two-Tola-measure of powdered Anantd (Duralabha),

Vdlaka, Musta, S'unthi and Katitka should be given
with (one Pala
of) tepid
before sun-rise in Tridoshaja fever. Moreover,
acts as a
good
appetiser.
Any
one or two of the (groups of the)
drugs of the purgative or appetising properties can

be employed with benefit in a case of (chronic) fever.
A lambative composed of Abhajd pasted together with honey and mixed with oil and clarified butter should be
by the patient in a case of Tri-doshaja Trivrit with honey would pacify a case of high 107109.
licked
feVer.
fever.
Medical
treatment
of
Vishama-
JWara
in
Purgatives and emetics should be exhibited

Vishama Jwara and
under the
the medicated clarified
a case of
butter
described
treatment of
Plihodara
Tri-phald
(chapter
XIV
Chikitsa-sthana), or pulverised
with
used
*
.the -addition
of treacle
may
be advantageously
in
the type
under
discussion.
A
if
decoction of
The
decoction should be prepared

to the rules of
..
with water only or with milk

the exigencies of the
and water according
Kshira-paka,
case so require. Dallana.
t Additional
text:A
potion
of
the
decoction
of
Hdridri,
Bhadra-mutta, Tri-phald, Katuka, Nimba, Pattla, Devada'ru and Kantakeiri would cure a case of Tri-doshaja fever with indigestion, water-brash,
dropsy, cough and disrelish for food.
t Dallana
includes this line also in the additional text.

to
According
Dallnaa the decoction of Tri'fhala' should be used.

Chap.
UTTARA-T ANTRA.
IO?
XXXIX.
Guduchi,
Nimba* 'and Dhdtri duly mixed with honey,

(in
may
be likewise prescribed
a case of Chaturthaka
fever).
The
patient
should be likewise
clarified butter.
made
all
to take
Las'una
(garlic)
with
The
three decocof
tions duly
prepared with three, four or

:
the
following drugs, viz
taka (D. R.
Madhuka, Patola, Katuka, Musshould be likeBatsaka) and Haritaki

-j-
wise administered.
10
1 1 1.
potion
consisting
of milk, clarified butter, sugar,
honey and Pippali should be administered according

to the strength of the patient.
Similarly Pippali should

Pippali-
be taken with the decoction of Das?a-mnla.
Bardhamsina
to take only
(sec
chapter V, Chikitsita-sthana) should
be likewise used by a patient
milk or
who should then be made meat-soup. The use of good wine

is
with the meat of fowl
also
recommended.
H2
Use of medicated Ghrita in cases of Vishama J wara : Clarified butter duly cooked
with the decoction of Kola,
phald, with
\
Agnimantha and
as
Tri-
milk-curd (Dadhi), with Tilvaka
Kalka
would be found to be highly
efficacious in a case of
clarified
Vishama
Pippali,
(red),
Jwara
Ativishd,
potion
of
butter duly
cooked with the
Kalka
(and decoction
Dallana)
of
Drdkshd, Sdrivd,
Vilva.
Chandatia
Katuka, Indra-yava, Us'ira, Simhi, Tdmalaki, Musta,

fS&la-parni), A'mlaki, S'unthi
Trdyamdnd, Sthird
and
Chitraka would be found highly beneficial lo irregular
(Vishama) appetite and would cure cases of chronic

*
Chakradatta reads "Mus/a"

says
J6
in place of
"Nimha"',
are
t Dallana
that
some commentators
inclined
to
use the
decoction of the
different
combinations of the
five
drugs taken three,
four or five at a lime.

(25)
Kola
is
here used for Pancha-kola, viz
: Pippali,
nppaU-roots,
Chavya, Chitraka and Na'gara.

ig&
fever,
THE
headache,
StJSHltiJTA
SAMHItX.
[Chap.
XXXIX.
Gulma,
113
Udara
(atcites),
Halimaka,
the body
consumption,
cough, burning
sides.
sensation
in
and pain at the
14
use of a
CudUChycfcli Chrlta ;The

Guduchi,
Tri-phald,
medi-
cated clarified butter duly cooked with the decoction of
Vdsd (D. R. Rdsnd), Trdyamdnd
and Durdlabhd together with the Kalka of Drdkshd, Mdgadhikd, (Pippali), Ambhoda (Musta), Ndgira, Utpala
and Chandana would be attended by good
cases of consumption, asthma,
results
in
cough and Jirna-Jwara

of chronic fever,
(chronic fever).
1 1 5.
Kalasy&II Chrita :Cases

headache, pain at the
(lit.
sides,
cough, and of consumption
any
wasting disease of the body attended with
fever)
medicated
Avith
would readily yield to the curative efficacy of a clarified butter duly cooked and prepared
of
the decoction
Kalas'i (Piis'ni-parni), Vrihati,
Drdkshd, Ttydnti, Nimba, Gokshura, Vald, Parpataka,

Musta, S'dla-pami and Yavdsaka and with the
of S'athi,
Kalka
Tdmalaki, Bhdrgi, Medd,
Kataka
(D. R.
Amalaka) and Pushkara-roots and with milk twice as
much as the clarified butter. 1 16. Patola'di Ghrfta : Clarified

cooked with the Kalka
(Nimba), Guduchi,
of
butter
duly
Patqla, Parpata, Arishta
Tri-phald, Btislta, Katuka,
Ambuda
Utpala
(Musta), Bhu-nwiba, Yavdsa,
Yashti-madhu, Chandana,
Ddrvi, lndra-yava, Us'ira, Trdyamdnd,
Kand and
and with the expressed juice of Dhdtri, Bhringa*rdja, Abhiru (Satavari) and K&ka-tndehi readily proves
curative
in cases
of Apachi (scrofula),
Kushtha,
eyes.
fever,
Sukra and Arjuna (two optical

diseases of the mouth, ears, nose
diseases), ulcer
and
117,
in
and the
Kalya'naka Chrita :Clarified butter, duly cocked with the Kalka of Vidanga, Tri-phald, Musta,
Chap.
XXXtX
UTTARA-TANtRA.
\<#)
Manjiskth^y Dddima, Utpala, Priyangu, Eld, Elavdluka,
Chandana,
Devaddru,
Varhistha
(Valaka),
Kusltifid,
Haridrd, the two kinds of Parnni and of Sarivd, Hare-
mka,
Trivrit, Dauti, Vacha, Tdlis'a,
Kes'ara and Mdlati
flowers
with milk twice as
called the
much as clarified butter, is Kalysfaaka Ghrita. The range of its therainc'udes
peutic application
such
diseases as
Vishama
and
it
Jwara, asthma, Gutma, insanity

the effect
of
and diseases due to

is
any
poison.
It
auspicious
evil
removes
affections
spirits
fits,
due
to
the
etc.,
influences
of
malignant
epileptic
and demons,
decay,
It
dulness of appetite,
senile
sterility
and
diseases
of the seminal
cord.
invigorates the
eye-sight
and
imparts
uses
it.
memory and
1 1
longevity to the person
who
8.
Maha'-Kalya'naka Ghrita : A
measure of
clarified
Prastha
butter
made from
the milk of a
cow of Kapila
species
and duly cooked with the Kalka

and the drugs known as Sarvaand with (dead) gold and gems
of the preceding drugs
gandhd (Eladi-gana)
should
again be duly cooked with the Kalka of Sumanah, Champaka, As'oka and S'irisha flowers and with Nalada and Padma (red lotus) and the polens of
Dddima
species.
flowers
It
with the
milk of a cow of the same
should be prepared under the auspicious of
favourable astral combinations and lunar planes of both

the physician and of the patient and then be duly
called secrated by Bramhanas. It is naka Ghrita aud may be prescribed
corf-
Maha'-Kalytt
for a king.
It
proves curative in
all
forms of
bliss
fever.
Its
very touch
disease.
Its
and
sight
confers
and
destroys
use enables a
man
all
to live to three hundred years free
from disease and decay and to remain invincible against

the attacks of
created beings.
1
19.
200
[Chap-
XXXIX.
of
Pancha-Gavya-Ghrita :Fqual
milk, curd, clarified
parts
butter and urine of a
cow and the
expressed fluid of cow-dung duly cooked with the Kalka

of Tri-phald, Chitraka, Musta, the two kinds of Haridrd,
Ativishd, Vachd,
Vidanga, Tri-katu, Chavya and Surain
ddru prove curative
cha-Gavya-Ghrita.
Vishama Jwara. It is called PanThe same five substances obtained

curd, clarified
butter,
from a cow
(e.g.,
milk,
urine and
the expressed liquid of cow-dung)
may
be duly cooked
without the addition of any Kalka as also with the
above Kalkas and the expressed

Vald, or of Guduchi. *
juice of
Vdsaka or of
All of these medicated Ghritas
are efficacious
chlorosis
in
cases
and edema.
clarified
Jima Jwara (chronic fever), The same five substances (e. g.

of
urine
milk,
curd,
butter,
and the expressed

milk curd,
fluid of dung)
of a
she-sheep,
a she-goat or a sheg.
buffalo
fied butter
and the four substances ( c. and urine) of a shc-camel

120
clari-
may
be prepared
(and used) in the same manner.
122.
butter duly
Us'ira,
Tri-phaiadi Ghrita :-Clarified

cooked with the Kalkas
the two kinds of Rajani,
Patola, Arishta,
Utpala,
of Tri-phald,
Sam-
pdka, Katuka, Ativishd, S'atdvari, Sapta-parna, Guduchi,

Chitraka,
Triurita', Murvti,
Vd/aka,
Kirdta-tikta,
Vachd,
Vis'dld,
Padmaka, the two Kinds of Sdrivd, Yashtimadhu, Chavikd, Rakta-chandana, Durdlabhd, Parpataka,
(saffron),
Trdyamind, Atarushaka (Vasaka), Rdsnd, Kumkumi Manjishthd, Mdgadhi and Ndgara with the
* Dallana
says
that
the
expressed
juice
of
Vdtaka,
ordinary
Bald
or
Guduchi, should be separately used along with the (Tri-phaU, etc.) of the Pancha-gavya Ghrita.
the lines to
Kalkas
But
we
are inclined to take
mean
that
VAtaki,
VaW
and Guduchi should be separately
used as Kalkas in place of the ordinary Kalkas.
Some
here add Ghana (Musta) with the other Kalkas.
Chap.
XXXIX.]
UTTARA-TANTRA.
201
expressed, juice of Dhdtri weighing twice as

clarified butter proves curative in Parisarpa
much
as
(erysipelas),
fever,
Asthma, Gulma, Kushtha, Chlorosis, enlargement

123.
of the spleen and dulness of appetite.
One
Nhnba,
Pala weight each of Patola, Katuka, Ddrvi,

Vdsd,
Tri-phald,
a
Durdlabhd, Parpataka
and
Trdyamdnd and
quarter measure.
Prastha measure of
be boiled in one Drona

then be
measure of
Amalaka should water down to its
A Prastha measure of Ghrita should cooked with the above decoctions. * The
due
to
Ghrita thus prepared proves curative in cases of Raktapitta, diseases
Kapha,
perspiration, muco-purulent
chlorosis,
erysi-
discharges, atrophy of the limbs, fever,
pelas
and Ganda-mala
(scrofula).
124.
PanCha-S'ara : Boiled
honey and
milk, sugar, Pippali,
clarified butter should be taken by stirring them together with hands. The compound is called Pancha-sara and may be employed with advantage in
cases of
Vishama-Jwara, Kshata-Kshina,
heart.
125.
consumption,
asthma and affections of the

prepared by cooking
Medicated TailaS: A
it
medicated
oil
duly
with Ldkshd,
Vis'va,
Nis'd,
Murvd, Manjisktkd, Sarjikd and Amaya (Kushtha) as Kalka and with Takra weighing six times as much as oil A medicated oil duly cooked and acts as a febrifuge.
prepared with Kshiri- Vriksha, Asana, Arishta, Jambu,
Sapta-chchhada, Arjuna,
Amrita-valli,
S'iriska,
Khadira,
Parpata,
Asphotd,
Us'ira,
Atarus/iaka,
Katuka,
Vacha, Tejovati and Ghana as Kalka

* Additional
'
may
be employed
nimba,
in
Some recommend the use of Kutaja, Bkutext Ghana (Musta), Yathti-madhu, Chaniana and Pippali as Kalka
of this
the
preparation
Ghrita and
that
it
proves
efficacious in
the
diseases of the eye, nose, ear, of the eye-lid
mouth and of the white part of the eye and
and
in ulcer.
26

202

body of the patient
1
(Chap.
XXXIX.]
in anointing the
in a case of Jirna/
Jwara with benefit
261 27.
The patient should be frightened with a non*veno mous snake, trained elephants 'and bogus thieves (or
rebuked with a thievish act falsely supposed to have been committed by him before) at the appointed date and hour of the paroxysm and be kept in empty stomach for
the day.
In the alternative,
he should be fed with

articles
heavy and
curd, etc.)
extremely secreting
(milk,
milk-
and be made to continually vomit out the contents of his stomach afterwards, or he should be made
to drink
any strong
liquor,
or febrifugal
medicated
in
clarified butter
or simply
matured
clarified butter
copious quantity or be treated with drastic purgatives,

or withlfomentations followed by Nirudha-Vasti application
on the date of the expected
attack.
128.
Fumigation and Anjana :The

of the patient
body
should be fumigated with the fumes of
the skin and hairs of a goat and a sheep mixed with

Vacltd, Kushtha, Palankashd (Guggulu), Nimba leaves, and honey and burnt together. The excreta cf a cat should be similarly used in fumigating the body of the patient in a case of fever marked by shivering. Pippalt, Saindhava and Naipdli (Manah-s'ila) should be
pasted together and mixed with
oil
1
and be applied
1
along the eye-lids as an Anjana.
29
30.
The medicated
the treatment of
Ghritas mentioned in conection with

(ascites),
Udara
as well as the
Ajita
II.)
Ghrita mentioned in the Kalpa-sthana (Chapter
may
be likewise employed with benefit in fever.
131.
A case of fever due to the malignant influence of the

spirits, etc.
should be remedied with the help of magical
incantations (Aves'ana), binding
and beating (D. R.
adoration) mentioned
in the
treatment of Bhuta-vidya
Chap. XXXIX.]
UTTARA-TANTRA.
203
(demonolbgy Chapters LX LXII). A case of fever due to any mental condition should be cured with
psychic (hypnotic) measures
fatigue or exhaustion
;
while the one due to over-
should be treated with diets of
Rasaudana
after
anointing the body of the patient
with clarified butter.
Fever due to
any
curse
or to
deadly incantations (exorcism)

forming
may
be cured by per-
Homa
(offering oblations to the gods)

;
and such
other ceremonies
influence of
while the cases due to the malignant

hostile
any
planet,
or of
any unearthly
sound
may
be cured by practising charity, hospitality and

All heat-engendering
in
peace-giving rites (Svastyayana).
(Ushna) measures are prohibited
a case of traumatic
oil
fever and sweet and astringent drugs charged with

clarified butter
or
should be prescribed.
Other therapeutic
the
agents should also be employed according to the nature

of the specific
derangement of Dosha involved

of
in
case. In a case of fever
caused by the smell of any herb

effect
or cereals
or in one due to the
any
sort
of
poison, the treatment should consist in such measures as
would
the
alleviate the poison
and the aggravated

in
Pitta in
the system.
Decoction of Sarva-gandhd (the drugs of

is
Etadi-gana)
also
beneficial
these cases.
decoction of
Nimba and Deva-ddru
or
of Jdti flowers
may
of
be prescribed as well.
Clarified butter,
wine and
of as well
preparations of barley
grains are wholesome in a case
Vishama-Jwara which
* Rasaudana
may
be got
rid
/
is
a kind of food prepared by boiling
rice
in
meat soup
(instead
of in water).
The term may, however, mean

read
rice
simply mixed
with meat-soup.
\ In
that
place of
"ftfPWRBFJ^;" some
"fwfiWWR^;'' and
to
would mean that the measures and remedies prescribed in cases of

This variant seems
bo
poisoning (sec Kalpa-stUana) should be applied.

the better one.
iC>4
TrtE
SUSHRUTA SAMHITX
[Chap. JtXXiX.
by worshipping Brahmans, cows, the god Is'ana, and Ambika. 132 133. The body of the patient overwhelmed with coldness
(shivering) in cases
of fever or
aggravated
Kapha
due to the action of the Vayu, should be plastered with

of
a paste of the
drugs
the
heat-making group *
to.
and heating measures should then be resorted

the
cow's
alternative,
In
urine
compound of Arandla, S'ukta, Mastu and (curd-cream) made lukewarm

a
over the body.
Plasters
should be sprinkled
of the
leaves of Surasa, Arjaka
and S'igru pasted together
with water would prove beneficial.
rubbed with Kshara-taila

with S'ukta.
(oil
The body may be cooked with alkali) mixed

in
decoction of the drugs of the Aragva-
dhddi group proves highly efficacious particularly

the
present
case,
and
decoction
of
Vayu-subduing
drugs should
be used tepid as a bath.
The
shivering
having been thus relieved with the foregoing measures
and by the sprinkling of tepid water over the body, the languid body of the patient should be smeared with pasted K&ldguru and wrapped up in a silk, woolen
or linnen cover and then the patient
lie
should be
made
to
in a bed.
34- A.
beautiful
Damsels young,
of love,
and
skilled
in the sport
with faces
glowing like the

forth
full
moon
of
autumn and darting
beams of love from
their
languid blue-lotus-like eyes, with eye-brows moving in the
ardour of desire and with dreary foreheads throbbing with

the gentle pulsations of love, with girdles sliding
fr:>m
down
their
slender waists, with their
splendid buttocks
steps,
naturally
lips
*
making them lazy
in their
with their
vying with the ripe Vitnba

Dallana explains the
fruit in their luscious

to
Ushna-varga (heat-making group)
mean
the Bhadra-darradi, Surasidi and the Eladi groups.
Chap.
XXXIX.]
tfTTARA-TANTRA.
20$
redness, with their elevated thickest breasts,
and smeared
thin trans-
with saffron and Aguru pastes and clad
in
parent garment, fumigated and scented with the vapours

of burnt
into
Aguru, should be asked to take the patient

itself
a firm embrace like a forest-creeper entwining

tree,
around a sylvan
keep off as soon as
and the girls should be told to the patient would feel himself heated.
of the
disease (cold-fever)
The
patient thus
cured
by
the fond
be treated
embrace of these beautiful damsels should to such a wholesome repast as would be

134.
welcome
to him.
Measures which alleviate

of the
the
burning
sensation
should be employed in a case of fever marked by sever
burning sensation
induced
in
body.
Vomiting should be
leaves.
such cases with honey and treacle mixed
with the (cold) infusion of

of the patient
Nimba
The body
should
be anointed with Sata-dhauta *
Ghrita and then plastered with a paste formed by mixing powders of barley, Kola and Amalaka with the
fermented boilings of
paste of tender leaves
S'ttka
of.
paddy, or with the cold
Phenild (soap-berry) mixed
with
Kola
and
or
A'malaka
and
pasted
with
Amla
of
(KAnjika),
with the cold
paste
of the
leaves
Palds'a pasted with
Amla
(Kanjika',
or with the froth
(produced by stirring in Kdnjikd the paste) of the leaves
Vadara or Arishta, \ whereby thirst, swoon and burning sensation would be relieved and removed. 135. A Prastha measure of oil duly prepared by cookof
* Clarified butter
w ashed
to
hundred times
in
water
is
known
as {fata*
dhauta Ghrita.
t Arishta according
Dallana and S'rikantha (the commentator of

or Phenila' (soap-b rry).
Vrinda) may mean cither
Nimba
But S'ivaddsa,
(leaves of)
the commentator of Chakradatta, explains
Arishta
Nimba. The
practice, howeverj
is,
to use the leaves
mean of Nimba.
to
io6
ing
a
it
THE StfSHRdTA SAMHItX.
[Chap.
XXXIX.
with half a Kudava measure of Yava ^barley), half

Prastha
Pala weight of Manjishthd and a hundred
measure of Amla (Kanjika).
The
oil
is
called
Prah-
Udana
and it relieves the burning sensation of the body due to an attack of fever. 1 36.
(refreshing)
Taila
In the alternative, the
body of the patient should
be plastered with the pasted drugs of the Nydgrodhddi, Kdkolyddi or Utpalddi groups, or anointed with a Sneha
duly cooked with the decoction of the drugs of the

preceding groups and with Amla, or the patient should
be given a bath (Avagaha)

drugs.
in the Sita-kasiya * of these
On
the alleviation
of the burning sensation, the
patient should be raised out of the tub and then
washed
with the spray of cold water and smeared with soothing

sandal pastes,
etc.
Young, gay, beautiful and

pastes,
lotus-faced
damsels with their youthful cooling breasts profusely
smeared with sandal

ful
wearing garlands of beautias
lotus
flowers
as
well
necklace of pearls,
etc.,
and clad
him.
in fine silken clothes
should be asked to hold
the depressed patient in their firm embrace and to kiss

-be removed as soon as symptoms of exhilaration. He should be given wholesome (Pitta-subduing) food which would give him much relief. Purgative and
These damsels should

exhibit
the
patient would
pacifying (soothing) medicines described
in
connection
in
with the Pittaja fever are

present case.
1
likewise
beneficial
the
37.
General treatment of the Complications The deranged Pitta should be crushed

:
and remedied
therewith
the
first
of
all in
case
of fever,
involving
co-operation of
in as
any
as
of the deranged
Doshas of the body,

* ''ditft-tosttya"
much
it is
extremely hard
cold
infusion
may here mean
cither
the
of the
dregs or only the cold decoction.
Chap.
XXXIX.]
UTTARA-TANTRA.
Pitta
207
case of
to subdue the deranged

fever.
especially in a
Such
distressing
symptoms
as vomiting,
epilep-
tic fits, thirst, etc.
should be remedied with such therato the
peutic agents as are not hostile or aggravating
principal disease (fever) but are antidotal to the exciting

factors.
138.
Specific treatment of the complications Now hear me tell you other specific remedies
:
for
the complications.
plaster
composed
of
Yashti-
madhu, Rajani, Musta, Dddima, Amla-vetasa, Rasdnjana,

Tintidika (tamarind),
Nalada (Mansi), Patra, Utpala, Tvak (cinnamon), Vydghra-nakha, the expressed juice
honey and Madhu-s'ukta, *
alleviate
if
of Mdtulunga,
applied to
the head, would
heat
in
the head, delirium,

in cases
vomiting, hic-cough, and shivering

of fever.
concomitants
to the
Vomiting would yield
use
of a
com-
pound consisting of Madlaika
flower,
Hrivcra, Utpala
clarified butter
and Madhulikd mixed with honey and
and used to be licked up with the tongue as a lambative.

It is
equally efficacious in water-brash, hic-cough, Rakta(hemoptisis)
pitta
and asthma.
with
Fits
of cough
and
asthma
shika
in cases of fever rtadily yield
to the use of the
electuary prepared
-f
Tri-phald, Pippali
and Mdkbutter.
and mixed
with honey and
clarified
139 14.T.
A
*
plaster of Viddri,
is
Dddima, Lodhra, Dadhittha and

by
preserving
the expressed juice of
Madhu-s'ukta
prepared
/amtira-Umaxi, Pippali and honey in an earthen r&t formerly used in keeping honey.
before use.
It
should be laid for a month under the heap of paddy
(Dallana) For an alternative

IJ^T.
mode
of preparation see
Wf^T,
Chapter
X 1W
t Dallana takes "Mikthika." in the sense of honey and comments

largely
on the seperate use of honey
(^)
in the
compound.
But we are
inclined to take
"Mikshika"
as the mineral of the
same name.
208
Vijapuraka

pasted
together
[Chap.
XXXIX.
with
may
be
applied
advantage to the
thirst
scalf of
a fever-patient afflicted with
and burning sensation.
Pastes of
if
Dddima and
kept in the
sugar,
and of Drdkshd and Amalaka,

Mddhvika, *
mouth, or a gargle ^Gandusha) of milk, expressed juice

of
sugar-cane,
clarified butter,
oil
and
case,
warm
water, according to
the
exigency of the
would remove the bad taste
in the
mouth
in fever.
An
empty feeling in the head in fever would be relieved by using as an errhine (Nasya) the medicated clarified
butter prepared
with the drugs of the Jivaniya
group.
142
144.
compound
given
for
A
sugar,
benefit
pulverised
Trivrit
consisting
of
Tri-fhala',
S'ya'mcf,
and Pippali mixed with honey

purgative
of the
fever,
and
with
in
can be
after the
purposes
digestion
Pittaja
derangsd Dosha
in
case
of chronic
an
up-coursing
Raktapitta
and
in
shivering.
The
system of the
patient should be cleansed with similar purgatives and
lardaceous lubrications
fever.
in cases of Kaphaja and Vataja Lambativc of honey, sugar and Abhaya' should
be given in a case marked by vertigo (Bhrama) even

after the subsidence of the
aggravated Dosha. 145.
Application Of VastiS : Nirudha-vastis

charged with the decoctions of sweet (Kakolyadi) or
Vayu-subduing (Bhadra-darvadi) drugs, should be applied

in
fever
due to the derangement of the bodily Vayu,

intensity
according to the nature and
of the
specific
deranged Dosha
patient
also
.
in the case
and
to the strength
of the
in
the alternative,
applied.
Anuvasana Vasti should
be similarly
The
the
decoction of the drugs

it
Dallana seems to read
"Ma'isiiia," and explains
as honey.
''Stadkviia" which generally means
wine made
of honey,
may
however, also mean honey.
eijp.
XXXIX,]
UTTARA-TANTRA.
2CX>
of the IJjjpal&di group mixed with Chandana and Us'ira
and sweetened with the addition of sugar should be similarly applied cold (as a Nirudha Vasti) in cases of
Pittaja
fever.
.charged
etc.,
Vasti (in the manner of Nirudha) with a compound consisting of .^*ra-barks,
S'amkha (conch), Oiandana, Utpala, Gabika, Rasdnjana, Manjiskthd, Mrina'l.i and Piidma-kdshtha
pasted
together
and
dissolved in milk saturated with
jugar and honey should

of linen
be passed
through
a. piece
and then applied cold in a case of (Pittaja) fever marked by intolerable pain. The characteristic, burning sensation due to fever may be relieved by applying Vasti charged with a decoction of the
preceding drugs in the
manner of an Anuvasana-vasti,. Nirudha Vasti charged with the decoction of the

'
drugs of the Aragvadhddi group

should be applied
decoction of the
mixed with
(the
pow-
ders of) the drugs of the Pippalddi group and with honey
in cases of Kaphaja fever and the Kapha-subduing (Aragvadhadi) drugs should also be injected into the rectum in the manner In cases of fever due to the of an Anuvasana Vasti.
aggravation of two or three Doshas, the Vastis (Nirudha
and Anuvasana) to be applied should be charged with

the decoction of the drugs respectively antidotal to the
deranged Doshas involved

exception of
in
each case.
146
150.
All the medicated lardacious substances with the

oil,
which have been prescribed as being

use of Vastis) in
diseases of the de(<in
efficacious (in
the
ranged Vayu, are equally applicable

Vastis) in a
all
case of fever due to the

also oil) are
same
cause.
Anuvasana But
of
them (including
close of the
equally applicable
to anointing, etc. at the
body with oil on the thirteenth; or fourteenth day of the attack would be attended with
Lubrication of the
acute stage
i.e.,
27

3IO

a case of Vata-sleshma
Vayu.
[Ctup.
XXXIX.
beneficial results in
fever,
where
fomentations have utterly failed to relieve the distressing
symptoms
of the deranged
Clarified butter
duly cooked with sweet and bitter drugs should be

used (for the purpose of annointing) in Pittaja fever
while in Kaphaja fever, the Ghrita should be cooked
with bitter and pungent drugs.

to the
In the cases of fever due
concerted action of two or three Doshas, the
Ghrita should be cooked with the drugs of two or
more of the above groups according to the nature of 151 the Doshas involved in each case. 152.
The
Pitta in
presence of even a small residue of the deranged

the organism
maintains the heat of the skin
up to the
fever-point, so the
remedy
consists
in
taking
the expressed juice of sugar-cane, or sweet cordials or
Satvats (sugar dissolved in water), and the diet in such

a case should consist of cooked
Sali and Shashti rice and milk. Fomentations and anointments should be employed in cases of Kaphaja and Vataja fevers.
Draughts of
clarified butter
should be given in
all
forms
of fever at the close of twelve days, for
by that time the

(in
aggravated Doshas return to their respective As'ayas

(places in the system).
The Dosha
by
involved
a case
of fever) becomes aggravated
affecting,
at the time
of the remission of the fever, the other fundamental vital

principles (Dhatus) of the
body and thereby makes the

153
\
patient
weak and
dejected at this time.
55.
Symptoms
or indications
fever, are
of remission :The
of the
features
which mark a complete remission of

head, flow of perspiration,
lightness
pale and yellowish colour of the face, sneezing and

desire for food.
.
156.
Fever originating from the wrath-fire of the god

is
3ambhu,
a dangerous disease.
It
affects appetite
and
Chap.
XXXIX.]
UTTARA-TANTKA.
21
the strength as well as the complexion of the body and

is
is,
virtually
the sum-total of
all the-
other diseases.
It It is
therefore, called .the lord of all bodily diseases. to all created beings
common
is
(men and animals),

(including
is
affects
the whole of the organism
also the mind),

in all cases at
it is
extremely hard to cure and

all
present
the time of the death of
creatures.
Hence
1
rightly
called the destroyer of created beings.
57.
Thus ends
the thirty-ninth chapter of the Uttai* Tantra in the Sus'rutra

fever.
Samhita which deals with the (symptoms and) medical treatment of
CHAPTER XL.
Now we
shall
discourse
on the
(causes,
etc.
and) medical treatment of diarrhoea,
symptoms (Atlsa'rause of
pratlsheda). i. Causes Of AtlsaVa :The

extremely heavy (hard to
cold,
fluid,
excessive
digest),
oleaginous, dry, hot,
and incompatible articles of food, eating irregularly and at improper time (or unaccusthick,
articles
tomed
of
of fare), indigestion,
eating
before the
digestion of the previous meal, excessive
use or misuse
any lardacious substances, etc., (Sneha, Sveda, etc.), use of any poison, fright, grief, drinking impure water,
the excessive drinking cf
physical
contrarieties,
liquor,
change of season or
in
indulgence
aquatic
sports,
voluntary repression
of any natural
parasites
in
urging (of the

the intestines
body) or germination of
are the causes which bring
on an attack of diarrhoea
will
(Atisara) the
presently.
2.
symptoms whereof
be
dealt with
Pathology : The
body,
if
liquid part (Ap-dhatu) of the
aggravated and carried downward by the bodily
Vayu, impairs the fire in the stomach (fire of digestion) and mixing with the fecal matter, is painfully and constantly emitted through the anus.
is
This dangerous disease

oozing out (Ati
those
named Atisara from
the constant
fecal
and Sarana) of the liquid
matter from the anus.
It is usually classified into six different types, viz.,
due to the predominance of the deranged bodily Doshas severally involved therein, that due to the concerted
action
of
the
three
Doshas, one due to grief and
that due to the indigested
mucous accumulations (Ama)
(jh*p.
XL.]
UTTARA-TANTRA.
2i$
in
is
the
intestines.
Some
it is
authorities hold that Atisara
of mtlny kinds
but the holy Dhanvantari, on the not so but that the physical
contrary, holds that
conditions of a
diarrhoeic patient undergo changes

3.
and
pain
become manifold.
Premonitory Symptoms '.Piercing

in the regions of the heart, umbilicus, rectum,
abdomen
sense
and
in
the Kukshi (sides of the abdomen), a

in the limbs,
of
numbness
and of
stoppage or suppression of
flatus
stool,
distension
of the abdomen, and indiges-
tion are the premonitory
symptoms
of the disease.
4.
Symptoms of Vsftaja, Pittaja, Kaphaja and Tri-doshaja Types : The

Vtfyu-origined type of the disease
(colic),
is
marked by Sula
in
suppression
of
urine,
rumbling sound
the
intestines, looseness
(constant
movement
in
in
the intes-
tines)
in
of the abdominal
in
(Apana) wind, a gone feeling

the
legs,
the waist,
the
thighs and
flatus
and
stool.
frequent emissions
with
of
scanty,
frothy,
dry
(Kuksha)
specific
brown-coloured (yellowish black)

of the
hot,
The
features
is
Pitta-origined
yellow, blue
type are
that the
stool
fetid,
or slightly
red-coloured,
or
resembles
the
washings
of
is
meat,
and
is
emitted with sharp or acute force and

thirst, epileptic
fits
accom-
panied by
(fainting),
burning sensa-
tion, perspiration,
suppuration
and inflamation (Paka)

fever.
of
the affected organs,
and
In
the
Kapha-
origined type of the disease the stool becomes loose and

constant, gets
white.
The
stool
mixed with the lump comes out without

is
of
mucus and looks
any^ sound.
sense
of constant urging
'
complained of and each, motion
only creates the apprehension of a fresh one in the mind.
The
patient becomes drowsy or sleepy, and feels
a sense of heaviness in
the limbs, nausea, disrelish for
il4

and
lassitude.
[Chap.
xL.
food, horripalation
The symptoms which
mark a case of Tri-doflhaja type (due to the concerted action of the three simultaneously deranged bodily
Doshas) are drowsiness, swoon, lassitude, dryness
the mouth, thirst and a varied colour of the stools.
case of Tri-doshaja
is
of
A
the
type,
if
attended with
if
all
symptoms,
infant, or
very hard to cure and*

is
occurring in an
an old person,
5-8.
scarcely amenable to medical
treatment.
Symptoms
AtlSfCra
reach
!
The
of dokaja
suppressed
tears
and Amaja
of
bereaved
fire,
person of sparing
diet,
on quenching the digestive

the local
down
into the
Koshtha
(intestines)'and there freely
mix
the
with, and vitiate
blood which becomes

It
dark-red like Kdkananti (Gunja).

rectum, charged
it
then passes through

impart-
with
peculiar fetour
ed to
by the
fecal
latter
matter in
or
case
of
its
combismell,
nation with the
without
any
fetid
when in by
ly
passing out
unmixed.
Such
an attack ushered
is
the grief of bereavement of a person
according-
considered
in
very hard to cure.
The
local
bodily
Doshas
the
Koshtha (abdomen) are aggravated and

in
deranged when they come
contact with the
Ama
the
(unassimilated chyle), and are brought
down
into
Koshtha
emitted
(bowels),
in
where they are more agitated and

with the
undigested fecal
combination
matter
in
various ways, and are attended with pain
and
characterised
by a variety of
9
colour.
This
is
type of Atisara.
10
if
the sixth
Symptoms of Ama and Pakva

S^ra
I
A case of Atisara (diarrhoea) would be said to

Ama (acute) state,
the stool of the patient
Atl-
be in the
suffering
from any of the foregoing Doshas would be found to sink in water and to emit a very fetid smell
Chap. XL.]
UTTARA-TANTRA.
in
2X5
and to pass
broken
jets
(D.
R.to
be slimy).
contrariety of the preceding

lightness of the
symptoms and a
sense of
body and
in
the affected cavity would
indicate that
the disease has passed the acute stage
and
it is
then called
Pakva
(chronic) Atisara.
n.
fat,
Prognosis : If the
washings of Ves'a vara,
oil,
colour of the stool (in a
case of Atisara) resembles that of clarified butter,
the
goat's milk, honey, ManjishthA,

if
brain-matter, or Rasdnjana, or
to the touch,
smell,
the stool
is
cold or hot
fetid
or
if
it
is
charged with a fleshy or

lines
or
marked with
if it
or
specks of variegated
if just
colours, or
looks like pus or clay, or
the
opposite or reverse
symptoms
or other distressing sympis
toms would be exhibited, the case

in case the patient
likely to
end
fatally
be weak.
patient suffering from an

if
attack of Atisara would be given up (as incurable)
he
be weak,
if
the orifice of his anus

if
cannot be closed,
(D. R.
become suppurated and there be distension of the abdomen

self-restrained), if there
if
if
the patient be not
be
distressing
symptoms
of
and
the patient be found
destitute of thermal heat.
12-13.
ushered in by whatsoever marked by the specific symptoms of the deranged bodily Dosha or Doshas complicated
attack
An
Atisara
cause,
is
sure to be
AH cases of Atisara whether due to the indigesany oleaginous food or drink (Ghrita, oil, etc.), whether with (or without) the symptoms of Pravahika
with
it.
tion of
and the accompanying colic, as well as those due to Visuchika or any 'other kind of indigestion as also
those due to the effect of
digestive system),
any poison
(Ars'as),
(affecting the
haemorrhoids
of
or
worms
in
the intestines,
all
toms of the
specific
them are marked by the sympDosha involved therein. The treatits
ment of Atisara varies according to
acute or matured
2I

symptoms of those
.
[Chap. XT*
stage, the- characteristic
therefore
are to be carefully observed
and
noted
in
each case
under treatment.
14-15.
The
patient should be kept without food as soon
as
the premonitory
symptoms
of Atisara
would appear,
prepared
with
in
and then the

their
dietic
gruels (Yavagu)
the admixture of digestive drugs should be given
proper order.
distension
advised.
flatulent
marked by colic and of the abdomen, fasting should

In a
case
be
first
And
salt.
then vomiting should be induced

Pippali
with draughts of water mixed with powdered
and Saindhava
a
light
etc.,
diet
in
the
shape of
then
Khada-yusha, Yavdgu,
prepared with the admixof vomiting.
ture of the drugs of the Pippalyddi group, should
be prescribed
after the cessation
A decocgroup,
tion of the drugs of the Haridrddi,
or
VachMi
should be be taken in the morning where the preceding
remedies would
fail
to
relieve
mucous accumulations
astringent or costive
in the intestines (Ama'tisrira).
No
immature (Ama) stage of the disease should be administered in as much as by obstructing the passage of the Doshas it might bring on an attack of enlarged spleen, chlorosis, distenmedicine
in
the acute
or
sion
of the
abdomen with suppression

(urinary
complaints),
fever,
of
stool
and
urine,
Meha
Kushtha (cutaneous
etc.,)
affections), ascites,
cedematous swellings of the

gland,
diarrhoea,
piles,
limbs,
colic,
Gulma (abdominal
Alasaka and cat:hing pain
at the heart.
16-17.
Purging should be induced with Haritaki in a case marked by constant and scanty motions (of mucus and) attended with griping and pain (5>ula) or by an incarceration of the deranged bodily
Doshas
(in
the intestines).
Emetics should
fesfings
be
first
exhibited
and followed by
and digestive or assimilative (Fachana) remedies
Chap.
XL
UTTARA-TANTRA.
marked by watery and copious motions.
2i;
in a case
Pow-
dered Haritaki and Pippali with tepid water should be

administered for purgative purposes in a case marked
by scanty emissions
pain and colic
prescribed
alternative,
in
(S>ula).
of stool
at
is
times attended with

the
first
Fasting
of
remedy
be
to
be
cases
Ama (acute)
medicinal
Atisara,
or in the
prescribed.
digestive
remedies should
The
recipes of digestive
compounds which
(Amatisara)
are curative in the disease under discussion are described below.

1
19.
Twenty different Recipes for Amatisara

Hingii,
S
(1)
;
Deva-ddru, Vacha, Musta, Ndgara, Ativislid

or of (2) Kalinga {Indra-yava), Ativishd,
and Abliayd
SanvarchalasaXt,
Abhayd
Vilva
;
(D. R^Nagara^, Dhanydka, Musta, Vdlaka or

of
(4)
Vachd and Abhayd, or of (3) and

Parpataka, S'unthi,
Vacha,
Musta,
;
Ativislid and Abhayd or of (5) Abhayd, Ativishd, Hingu, Vachd, and Sauvarchala-sah or of (6) Chitraka, Pippali;
tnula,
Vacha, Katuka-rohini,
or of (7) Pdthd,
Vatsaka(Sunthi),
seeds (Indra-yava), Haritaki and

or of (8)
Mahaushadha
Murvd, Nirdahani, (Chitraka), Pdthd, Tryushana or of (9) Siddhdrthaka, (Tri-katti) and Gaja-pippali
;
Bhadra-ddru, S'atdhvd and Katu-rohini
or of (10) Eld,
Sdvaraka (Lodhra), Kushtha, the two

Kutajasceds (Indra-yava)
or of
;
sorts
of Haridrd,
or of (11) Mesha-s'ringi, Tvak,
Eld, Krimighna (Vidanga) and

(12)
Vrikshaka (Indra-yava)
Brikshddani,
Virataru, the
of
two kinds
of
Vrihati and the two kinds
Sahd (Mudga-parni
and.
or of (13) barks of tiranda, Tinduka, Dddirna, Kutaja and of S'ami; or of (14) Pdtltd, Tejcvati,
Masha-parni)
Musta, Pippali
and
Indra-yava
or
of
(15) Patola,
Dipyaka (Yamani), Vilva, the two kinds of Haridrd and Deva-ddru or of (16) Vidanga, Abhayd, Pdthd,
;
S'ringaveta,
Ghana (Musta) and Vacha
or of (17) Vacha,
?8
2l8
[Chap. XL.
Vatsakaseeis (Indra-yava), Saindhava and Katu-roktnt

dried green Vilva
or of (18) Hingu, Vatsa&asteds (Indra-yava), Vacha and

;
or of (19) Ndgara, Ativishd, Mustd,

;
the two kinds of Pippali and Vatsakaseeds (Indra-yava) or of (20) Mahaushadka, Prati-visJtd and Mustd, are the
tliese
Twenty
different recipes of the remedies
which
are digestive (of the mucous accumulations) in cases of
Ama-Atisara and should be administered
(in
the shape of
powder) with Dhdnydmla (Kanjika), tepid water or wine, or their decoctions in luke-warm state should be
used.
This
is
a detailed
list
of the
best
remedies in
cases of Ama-Atisrfra.
20.
-
compound
of Haritaki,
Ativishd,
Hingu, Sau-
vatchala and Vachd should be taken with tepid water in

cases of Ama-Atisaras.
Similarly a
compound
of Patola,
Yatndni, Vis'va, Vachdfippali, Ndgara, Musta, Vidanga,
and Kushtha, or that of S'unthi and Guduchi should

be taken with tepid water.
21-23.
The
(1)
five
of
all
;
compounds separately composed kinds of officinal salt, Pippali, Vidanga and

following
or of (2)
all
Haritaki
Chitraka, S'ims'apd, Pdthd, S'drn;
gashtd, and
kinds of officinal salt
VrikshaAa-seeds {Indra-yava) and

salt
all
or of (3) Hingu, kinds of officinal
taken
in
equal
parts
or (4) of Ndga-danti
;
and
Pippali,
weighing two Tolas
or (5) of
if
Vachd and
taken with
Guduchi-stzms, would
tepid water.
be found beneficial,
quantity of milk
Twenty Musta, should be boiled in a and thrice as much water. The milk
back after
all
which
is
left
the water
is
evaporated
by
should be used for the relief of the griping (aula) due to the accumulation of mucus (Ama) in the
boiling,
intestines.
24-25.
Clarified
butter
mixed
with
SaindAavasa.lt
and
Yaviakskdra should
be given to a patient of weak

Chap. Xi-J
UTTARA-TANTRA.
pcwer
in
2f$
digestive
a case
its
in
which the Vaya Has not

in "spite
been restored to
normal condition
of the
is
subsidence of the intestinal
Sula (griping) and which
marked by scanty
pain.
(but
repeated) motions passed with
The Ghrita duly cooked with Ndgara, Chdngeri

(Kanjika), or simply the transparent part of clari-
and Kola (Vadara) and with milk*, curd (Dadhi) and
Amla
fied
butter
should
be taken as a
In the
relief for
Atisara
clarified
attended with Sula (pain).

butter
alternative,
of)
oil
mixed with (an equal quantity
and duly
cooked with curd, together with a paste of Tri-katu,

Jdti (flower) and Chitraka, or with thai of Pippali-wula,
Vilva,
Dddima-bark and Kushtha should be given.

the remedies to
All
these are
be employed
in
a type of
;
Atisara due to the action 'of Vata or of Sleshma

all
and
the
the foregoing remedies with the exception of those
of keen
and heat-making potency, may be used

26
27.
first
in
Pittaja type of the disease.
Fasting as already advised should be
observed
and it should be broken with gruels (Yavagu) duly cooked with the two kinds Va/d, or with Ams's-mati, or
S'vadtxmshtrd and
Vrihati, or S'atdvari
mixed with honey.

arid bitter
The soup (Yusha)
of
made cold and Mudga duly

with mild
cooked with the drugs of appetising
virtue, or
drugs of appetising property would cure (the

the
Dosha
in)
acute
stage
(Ama-dosha) of the
stool.
Decoctions
of
Haridrd,
Ativis/td, Pdthd,
;
Vatsa-sezfe
(Indra-yava) and Rasdnjana,
or of Rasdnjatia, the
;
two
kinds of Haridrd and

Patha,
Kutaj'^sceds (Indra-yava
or of
Guducki,
Bhu-nhnba
and Katu-rohini would
We
we
have tba recipe of

find
this
there
Ksbara
in place of
Ghrita in Charaka Sainhita also. But Kthira and that appears to be the better
Ghrita,
reading.
Sec Chapter
XIX,under Changed
Charaka SamhiuL
220

useful
in
tChap.
XL.
the
prove "extremly
correcting (Pachana)
deranged Pitta.
2829.
Six Yogas for PlttaJa-AtlsaVa : Any

one of the six decoctions respectively prepared with Bhu-nimba and Mustd, Kutaja-sneds (Indra-yava.j,
Rasdnjana
or with Ddivi, Durdlabhd, or with

;
Vilva and red
Chandana
Chandana,
Vdlaka, Mustd, Bhu-
nimba, Dur&lavd
or with Mrindla, Chandana,

;
Rodhra,
Ndgara- and Nilotpala
or with Pdthd, Musta, the

;
two
kinds of Haridrd, Pippali and Kutajaseeds

seeds and barks of
or with the
Vatsaka, S'ringavera and
Vachd
mixed with
clarified butter
should be regarded as good

30.
remedies for the Pittaja type of Atisara,
case of Pittaja- Atisara in
its
acute (Ama) stage

Vilya,
would yield to the use of a decoction of (unripe)

lndra-yava,
Ambhoda
(Musta), Vdlaka and Ativishd.
decoction of Yashti-madhu, Utpala, Vilva, Antra, Hrivera,

Us'ira and
Ndgara mixed with honey proves

31
curative in
the case under discussion.
32.
Astringent or constipating (Samstambhana) remedies should be
employed
in
a case of the chronic (Pakva)
marked by dullness of the Grahani, vis, the fire and by constant motions. Any of the four following medicinal compounds, vis., Samangd,
Atisara
digestive
Dhdtaki-fiov/er, Manjisthd,
S'dlmali-veshtaka,
Lodhra and Mustd or 'of Rodhra and the bark of Vrikshaka

;
;
(Kutaja) and of
Dddima
or of the
stone of
Amra,
;
Lodhra, the inner pulp of (unripe) Vilva and Priyangu

or
of
Yashti-madhu,
S'ringavera
and the
bark
of
Dirgha-vrinta (Syonaka)
should be taken with honey

cases
and the washings of

Atisara.
33
rice in
of chronic (Pakva)
34.
The
honey
decoction of
in
Musta alone should be taken with

a
the
case under discussion, or
decoction of
Chap. XL.]
UTTARA-TANTRA.
viz.,
22 1
any
of the nine Ganas,
the Lodhrddi, Amboskffiddi,
or Priytihgvddi groups,
etc. (see
Chapter
XXXVIII,
the
dried
Sutra-Sthana)
decoction of
should
be
employed.
Similarly,
Padmd, Samangd, Yashti-madhu and
Vilva and Jatnbu fruits should be taken with the washings

of rice
mixed with honey.
paste
of the
root
of
Kachchhurd weighing an Udumvara (two Tolas) should

be similarly taken ^with the same vehicles).
case of
Pakvatisara marked by bloody stool or by emission of
blood (from the intestines) would yield to the use of

the decoction
of Payasyd,
Chandana,
Padmd
35
(Bhargi),
Sitd (sugar),
Mustd and
the polens of lotus.
if,
38.
Application Of Ghrita :Clarified

with
butter
Yava-kshdra should be given to a patient with

the- state of
due regard to
being
to be
his
digestive
etc.,
power
be
after
treated
affected
with
fasting,
he
still
if
found
with Sula and dryness and

free
the stool
a
is
would be found to be
Pakvatisara.
from mucus
i.e.,
in
case
of
The
colic (in
a case of Atisara)
butter
relieved
by taking
with)
(a
potion of clarified
Vrihati,
little
duly cooked
Vald,
Ams'u-mati and Kachchhurd-roots
mixed with a
Vilva,
honey and
Yashti-madhu
(as
an
after-throw). Clarified butler duly
cooked with Ddrvi,
Kand
{Pippali),
in
Drdkshd, Katuka and Indra-yava

a
case
of Atisara due
(jointly

action of the Vata,
ately).
(in
to
the
Pitta
and Kapha
or separ-*
draught of milk, honey and
clarified butter
equal parts) mixed
with sugar, Ajamodd, Katvanga
and
Yashti-madhu
(as
an
after-throw)
(in
would
relieve
the griping (Sula) in the intestines
a case of Atisara).
3942.
Putapa'ka
Preparations : A
Atisara
case
stools
of
of
long-standing (chronic)
marked by
various colours and a keen digestion
but unattended
222
f HE StfSHRtfTA SAMHITX.
[Chap. XL.
with any sort of pain or complication should be remedied with medicines prepared
ptfka
in the
preparation
(described
below).
maner of PutaThe barks of

lotus
in
Dirglia-vrinta
(S'yondkd),
and polens of
wrapped
(lotus)
should
of
be
pasted
together
and
up
leaves
Kds'mari or of Padma
with string or thread (D.
with
their
ends tied
R. Kus'a). The
cover should
be then coated with a plaster of clay and duly scorched

in the fire of (smokeless) charcoal (of Khadird).
When
well cooked,
it
should be taken out and the juice, squeez-
ed out of
its
contents.
This juice should be cooled and
administered in combination with honey in a case of

Atisara.
Similar preparations of the drugs

etc.,
known
as
in
Jivanti and Mes/ia-s'ringi,

the
may
a
of
the
also
be used
bird
same way.
The
a
skin
of
Titlira
should
of
the
belly
be peeled off and
paste
drugs
into
Nyagrodhidi group
after
it
should be stuffed
its
it
has been previously drawn.
After this
should
in
be
duly stitched
the above
up
and cooked (scorched)
the
fire in
manner.
The
juice should
then be
cool,
squeezed out therefrom and
administered,
when
in
with the admixture of

of Atisdra.
honey and sugar

as Lodhra,
case
The drugs known
Chandana,
Utpala and
Yashti-madhu, Ddrvi, Pdthd, Sitd (sugar),
the barks of Dirgha-vrinta pasted together
with the
the
fire
washings
in
of rice should be duly scorched in
the above out of
manner
its
(of
a Puta-paka).
The
Atisara
juice
pressed
contents
and
taken with honey,
when
to
cold,
proves curative in cases of

of
the
due
the
action
deranged
Pitta
and Kapha.
Similar preparations
of Vata, etc ., and
may be made of the aerial roots may be advantageously prescribed

,).
with the soup of the flesh of any Jangala bird (such

as Tittira, Kapinjala, etc
43-47.
Chap. XL.]
UTTARA-TANTRA.
223
The
ftutaja-b&rk taken with treacle would cure per-
force the long-standing cases of Atisara
attended with
blood and marked
by the diminished action of the bodily Vayu but a predominant action of the deranged Kapha. The drugs of the Ambashtddi group as well
as those
of the Pippalyddi group
beneficial.
taken with honey
would be similarly
48-49
A
parni,
Peytf duly prepared with the admixture of Pris'ni-
Bald,
Vilva
(D.
R. Vis'va\
Bdlaka,
Utpala,
Dhanydka and Ndgara, should be taken by a

suffering from
patient
Atisara.
case
of Pakvatisara
would
gruel
yield to the curative efficacy of a light medicinal

(
Yavdgu) duly prepared with the admixture of the paste

Yashti-madhu, and tender
of S'yondka-b&rk, Priyangu,
sprouts of
Dddima
pasted together with curd.
case
of Atisara
attended with blood and colic (Sula) would
be readily cured
Dhdtaki, Ndgara and the
by the use of Rasdnjana, Ativishd, bark and seeds of Kutaja

rice.
taken with honey and the washings of
50
52.
Yashti-madhu, (dried) green Vilva-txnit mixed with
honey and sugar, or

rice (administered
particles of S'dli
and Shashtika
with the same drugs) would prove Badari-rooxs pasted with curative in a case of Atisara.
honey should be given to be licked with the same
result.
Barks of Badari, Arjuna, Jambu, Antra, S'allaki and

Vetasa taken with honey and sugar would cure a case of
Atisara.
Gruels (Yavagu),
through a piece of linen)
Mandas (thick gruel squeezed and Yusha (soup) may also be
duly prepared with the admixture of fhese drugs, and
a case marked by excessive thirst, the water for drinking should be prepared by duly boiling these drugs.
in
The
*
cold infusion of * S'dlmalistems kept in
the open
Ponders of
S'rflpali
stem
should
be kept
Immersed
for
whole
224
THE SUSHRUTA
SAMIIITA.
[Chap.
XL.
space for a whole night,

results as
may
be given good with good
drink
53
in
combination with Yast/u-mad/iu
and honey.
54.
Use of Milk
stool
in Atisara
:Milk
should be
given in a case of Atisara marked by the suppression of
and Vayu
Milk
and
attended with
griping (Sula),
constant scanty motions,

thirst.
is
symptoms
itself in
of Rakta-pitta
and
ambrosia
such a case of Atisara
(Dysentery), and in
long-standing cases the milk to be
taken should be duly boiled with thrice as much water.
This would remove the

involved and
in such cases.
is,
remnant,
if
any, of the Dosha
therefore, considered as the best
remedy
of Pichas the
Oily purgatives and application

as well
chila-Vasti
(slimy intestinal injections)
medicated Ghrita
duly
prepared with the expressed

c. g.,
juice of the barks of slimy trees,

etc.,
S'j'ond,
S'dhnali,
are beneficial under the circumstances (in

56.
chronic
or longstanding cases).
Draughts of
clarified butter
duly prepared with the

a
tender sprouts of the Kshiri trees and mixed with honey
and sugar
of Atisara
(as
an after-throw) should be taken

of
in
case
marked with a
the
region
discharge of blood before

stool
or after the passing
pain
(in
the
of the anus).
and with a cutting Draughts of medi-
cated clarified butter duly prepared with the barks of
Deva-ddru, and
with Pippali, S'unthi, Ldkshd, India-
yava, and Bhadra-rohini (Katukaj administered through

the
medium
of
any kind of Peyd, would prove highly

a
case of Tri-doshaja Atisara of severe
efficacious
in
type.
night
in
57-58.
an equal quantity of water.
In the morning the water should

Four-Pala-weight of this water
be passed through a piece of linen.
mixed with a Katsha weight of lYashti-madhu and honey should be

taken.
Chap. XL.]
UTTARA-TANTRA.
is
225
Exhibition of emetics or vomiting
an excellent
remedy
(in
in
case
of
Atisara marked by heaviness,
the abdomen) and the predominance of the deranged,
bodily Kapha.
case
attended with fever, burning
sensation and suppression of stool
and marked by an
with
urine-purifying
aggravation of
Rakta-pitta.
Vayu
should be treated as a case of
Intestinal injections
(Mutra-Sodhana) drugs should be speedily administered

in the
manner
of an Asthapaiia or
AnuV&ana Vasti,
as
the occasion might arise, in a case
marked by an exces-: sive accumulation of the deranged bodily Doshas in the affqeted locality as well as by the suppression (of
stool)
during the mature stage of the disease.

injections
59-60.
clarified
Intestinal
consisting
of
oil
or
butter duly cooked
and prepared with the drugs of sweet and acid tastes should be applied in the manner of an AnUY&'sana Vasti in a case marked by the protrusion of the bowel through violent and excessive straining and by painful obstruction of urine (Mutraghata) and
pain
in
the waist.
Pitta-subduing washes, and injec-
tions prepared with the Pitta-subduing drugs and appli-
ed in the manner of Anuvasana Vasti, are the remedies

in
a case
marked by the suppuration
of the anus due
to the aggravation of Pitta in an injudicious or
intem-
perate
Anuvstaana Vasti charged with oil duly cooked with wine, Viha and Dadhi-tnanda should
patient.
be applied in a case of Atisara marked by the aggravation of the deranged bodily Vayu, and milk duly
boiled
and cooked with the admixture of Kachchurd:

61-63.
roots should be given to drink.
Pichchha'-Vasti should be applied (into the rectum) in a case of Atisara marked by painful and frequent
emission
time,
of
blood, though in
scanty quantities at a
and by an
entire suppression of
Vayu
(flatus).
An
29
226
THE SUSHRUTA
of
SAMHITA".
results
[Chap.
XL.
atonic condition
the anus
from
64-65.
long-
standing attack
of Atisara which should, therefore, be

oil.
remedied by rubbing the part with
Diet :The
Atisara should
diet
of the patient suffering

the
from
Vatta-
be prepared with
admixture of
Kapittha, S'dltnali, Phanji (a
kind of Patha),
Kdrpdsi (D. R. Vata and Karpasi), Dddima, Yuthikd,

Kachchhurd,
parni,
S'elu, S'ana,
Chuchchu,
Dadhi
(curd), S'dla-
Pris'niparni, Vrihati, Kanta-kdrikd, Vald, S'vad-
amstrd, Vilva, Pdthd, Ndgara and

also consists of the pastes of
Dhanydka and may sesamum and Mudga pulse
or of
Mudga
>
soup.
66.
Causes and Symptoms of

Sfifra
Rakta'ti-
The bodily Pitta of a person already suffering

Pittaja- Atisara
is
from an attack of
further deranged
and aggravated,
if
Pitta-generating
eatables are
taken,
and ushers in the discharge of blood with stool accompanied by fever, burning sensation, thirst, gripings (Sula)
and excessive suppuration (inflamation) of the anus (Guda). The above are the characteristics of the
Raktrfti-B&a.
67.
Treatment
'.Draughts of
milk
etc.
duly boiled
(those
includ-
and cooked with the leaves of Vata,

clarified
ed within the Nyagrodhadi group) should be given with

butter,
or with
sugar and honey in
a case
;
marked by a discharge
of blood before or after motions
or the butter prepared by stirring the preceding preparation of milk should be taken
;
and draught of the Takra
(thus prepared) should be taken as an after-potion.
The
discharge of
blood
(in
case
of
Atisara)
may be
to-
stopped by a potion consisting of the barks of Piydla,

S'dltnali,
Plaksha, S'allaki, and of Tinis'a pasted
gether with milk and

result is obtained
mixed with honey.
The same
she-
by administering the milk of a
Chap.
XL]
with a paste
UtfARA-tANtRA.
of
24?
goat
Yashti-madhu, sugar, Lodhra,
Payasyd
(Arkapushpi) and Ddrvi
and
of
mixed with
Manjishthd,
honey, or with a paste (or powder)

S'arivd, Lodhra, Padmaka,
Kumuda, Utpala and Padmd
(Bhargi
68-71.
Sugar, Utpala, Lodhra, Samangd, Yashti-madhu and

Tila
;
or Tila, Mocha-rasa
;
and Utpala
or
and Lodhra or Yashti-madhu Kachchurd and Tila are the ingre;
dients of four recipes which,
if
taken with the she-goat's

in the
stool.
milk and honey, would remove the blood

Pastes of unripe
Vilva
fruits, treacle
and honey taken

a case marked
before the meal would be a remedy by watery motions mixed with blood.
in
case of blood-
dysentry due to
the deranged
blood,
and Pitta and
attended with Sula yields to the use of a compound consisting of
Kos'akdra (a kind of sugar-cane) pulverised

fried in clarified
parched paddy
butter and
mixed
with sugar and honey.

to the action of the
case of blood-dysentery due
deranged blood, and Pitta
may
be
compound of the kernel of a ûnripe) Vilva-iruit mixed with Yashti-madhu and taken with The remedies the washings of rice, honey and sugar.
cured with a
mentioned
in
connection with a
case
of
Guda-paka
(suppuration of anus) should also be employed in these

cases.
Application of Pichohha'-Vasti
is
recommended
in the
type where the pain begins to subside.

of the decoction of Vidanga,
purga-
tive
consisting
Triphald
and Pippali should be given to a patient with good assume* the appetite as soon as the stool would
.
colour of blood.
sisting only
In the alternative, a
purgative con-
of milk
cooked with Eranda-roots (castor
plant) should
be employed and the patient should be

the stool would harden ''mtfft!'
* D.
When
220
given
fHE SUSHRUTA SAMHItX.

Yavdgu prepared
72-78.
[Chap.
XL.
with appetising
and Vayu-
subduing drugs.
Treacle (Phanita) mixed

curd,
oil,
with powdered S'unthi,
case
milk and clarified butter should be given in a marked by good appetite but by frothy motions
all
devoid of
oil
fcecal
matter.
Badara-fruits boiled
with
and
treacle, or cakes
prepared from them and dried
unripe Fi/pa-fruits should be prescribed. Cakes prepared
with boiled Mdsha-pu\se should be prescribed to be

taken with curd followed by a draught of S'vetd (cake-
marked by the absence of fecal The blood-stained flesh of a hare cooked with Samangd, curd and clarified butter should
made) wine
in
the case
matter in the stool.
be taken with well boiled
rice.
79.
A decoction
cooked
in
of Mds/ia-puhe, Kola and

parts of the
oil
barley duly
equal
and
clarified butter
and mixed with curd and the expressed

should be prescribed as diet
of any fecal
in
juice of
the case.
Dddima The absence
matter in the stool (Furisha-Kshaya) would yield to the use of Bit (black salt), dried unripe Vilva fruit and S'untki pasted with any acid juice and mixed with curd-cream and cooked in equal parts
of
oil
and
as-
clarified butter.
Clarified butter duly cooked
with
tringent
and
appetising
'drugs
should be
given in a case of Atisara attended with Sula where

the patient feels a good appetite after the loss of fecal
matter.
8081.
Symptoms
in
of Pravcthikct :The Vdyu

person addicted to the use of
is
the organism of a
unwholesome food,
carries
deranged and aggravated. It down the accumulations of Valasa (mucus) into

off
the lower part of the body, whence, mixed with stools,
they are constantly passed

disease
is
with tenesmus.
diarrhoea).
called PravaTrika"
(mucous
The The
Chap. XL.]
UTTARA-TANTRA.
in
229
the Vataja
in
motions are attended with Sula (pain)

type of
the
disease,
with
burning sensation
the
Fittaja one, with mucus in the
Kaphaja one and with

in the
blood (blood-streaked
origined
type).
mucus)
Baktaja (blood-
Excessive use
of dry (Ruksha) or of
fatty articles
of food
may be
The
its
regarded as the exciting

specific
factor
of
these
cases.
indications
of or
Pravahika as well as
Ama
or acute and
Pakva
mature stage are respectively identical with those of

the several types of Atisara.
82-83.
Treatment I In
other digestive (Pachana)
the
event
of
(cf
fasting
and
they
compounds
in
Pravahika)
cases
producing no beneficial effect

are
oil,
serious
found to readily yield to the use of boiled milk,

Tila (sesamum) or Pichchhila
Vasti.
The green
stems of S'dlmali well covered with green A/a-bIades,

should be scorched in the
fire in
the
manner of Puta-paka.
and powdered
in
The
juice should be
squeezed out thereof and mixed

oil,
with boiled
milk,
clarified
butter
Yashti-madhu, and should be carefully injected into the
rectum in the manner of Vasti application

of Pravahika
urine.
cases
marked with the

injections
retention of stool and
Similar
of a decoction of Das'a^mula
duly cooked in milk and mixed with honey and applied

in
the
manner
of
an Asthapana-Vasti
the
as
well
as
the application of
oil in
manner
86.
of an
Anuva'sana
Vasti would prove highly
efficacious in
cases
marked
with painful tenesmus.
84
Diet
five
Oil
duly cooked with the drugs of the

of) salt
Vayu-subduing (Vidari-gandhadi) group and with (the

officinal
kinds
should
be
used in (the
consist-
preparation of) food and drinking of Lodhra,

Z?*/-salt
compound
pasted with
oil
and dried unripe Vilva-frult and mixed with Tri-katu should be
ajO
given to be
rhcetic
THEi
SUSHRUlA SAMHITX.
The food
(boiled
[Chap. XL.
licked*.
rice) of
a diar-
be taken with honey and curd from which the cream has not been removed or with
patient should
;
milk warmed by a piece of red-hot metal

gold and
silver)
(other than
quantity of honey.
and mixed when cold with a profuse The use of milk duly boiled and
cooked with the admixture of Tri-katu and Viddrtgandkd, with the food would prove curative in a case
attended with Sula.
He
should also be given soups
(Rasa) prepared with the drugs of appetising, astringent

(Grahi)
and Vayu-subduing
the
virtues.
Fish he
oil
may
take
and
his
soup should be prepared with
and
clarified
butter with
admixture of Vayu-subduing drugs.
The
diet in this disease should consist of venison,
mutton
or goat's flesh cooked with the tender sprouts of a Vata

tree or of blood of a fatty goat duly
cooked with curd
(Dadhi),
oil
and
clarified
butter.
He may
take
his
food with an unsalted
soup (Yusha) of a peacock or

prepared curd.
of a Lava bird, or with well
He may
butter
take (with with the
benefit)
well
cooked Mdsha-fulse mixed

clarified
transparent
upper part of
(Ghrita-manda) and with curd, while chewing at intervals (with his

teeth) the
89.
unpowdered Maricha (black
pepper).
87
compound
of milk,
honey and
clarified
butter
mixed with the decoction of

in (a case of
Yas/iti-mad/iu
and Utpala
should be applied in the manner of Vasti-appli cation
Pravahika, marked by) excessive pain and
painful micturation (Mutra-Krichchhra).

tion of this Vasti
*
daily.
The
applica-
would
alleviate the burning sensation,

this
According to some variants
compound should be taken
thrice
+ In place of "^nt"
some read "fw"
Kupya Kurpa which
(any metal other than gold and silver)

is
explained to
mean a kind
of stone.
Chap. XL.]
UTTARA-TANTRA.
3I
allay the the

(in
accompanying fever and remove the blood

Injections of the decoction (of the drugs)
the
stool).
of
Madhura group
(such as Kakoli,
etc.) in
the
manner
be
of an day at daytime or
Anuvasana Vasti, should also be applied every

in
the night,
if
the
patient
feeling
any
pain.
90.
oil
Vasti
applied with the admixture of
would
aggravated bodily Vayu and Pravahika, would be removed with the pacification of the deranged
pacify the
bodily Vayu.
of Pravahika
its
The main
is
treatment, therefore, in a case
to restore
the deranged local

is
Vayu
to
normal condition, (which
identical with a cure). 91.
Medical Treatment : The

as Pdthd, Ajamodd,
drugs
Kutaja- seeds, S'unthi
known and Mdgatesticles
dhikd taken in equal parts, pasted together and dissolved

in tepid
water or milk duly boiled with the
of a goat
and mixed with

in
clarified butter
would prove
butter
efficacious
case of
Pravahika.
Clarified
mixed with oil and duly cooked with S'unthi and Kshavaka would give instantaneous relief, if licked. Yavigu duly prepared with the admixture of Vilva and the expressed juice of Gajds'ana (Sallaki), Kumbhikd and Dddtma and with curd, oil and clarified butter would prove highly beneficial. The use of milk just drawn, would similarly prove beneficial in the
case.
92.
wise and
the foregoing medicinal the complaints of
employ compounds and decotions in the bowels and of the Stomach (Udaraarticles
experienced physician should
maya)
as well as light, appetising and emulsive (Snigdha)
articles of fare
and other
of food
prescribed
before as diet in the cases.
93.
YavagU
in
Yavagu
(gruel) is
always efficacious
cases of fever
and Atisara
in as
much
as
it
allays
232
thirst, is
THE SOSHRUTA SAM HITA.

light
[Chap.
XL.
acts
in
digestion
and appetising, and

94.
as a cleanser of the bladder (diuretic).
General Principle of Treatment :

Drying (Ruksha) measures should be employed in a case due to the excessive use of any oily or emulsive food and emulsive (Snigdha) measures should be
adopted
of
in
a case brought on through an excessive use

article.
any dry (Ruksha)

first
The cause
of
terror
should be
the
removed
in
a case due to
fright,
while
mind should be calmed or consoled in the case due to any grief or bereavement. The treatment in cases (of Atisara) due to piles or worms (in the intestines)
as well as in those due
to the
in effect of poison
(intro-
duced into the system) consits

disease
employing therapeutic
Complications or
thirst,
agents which are simultaneously remedial both to the
and to
its
exciting factors.
distressing concomitants such as vomiting,
faint-
ing
fits, etc.,
should be removed with drugs which are
not incompatible with the main treatment of the disease,
and which do not aggravate the exciting factors. In a case of fever or Atisara marked by the simultaneous aggravation of the deranged bodily Doshas, the deranged
Pitta should be
affections,
it
first
remedied, while
in
all
other
is
the deranged bodily Vrfyu which should
be
first
curbed
down
or corrected.
95
96.
Indications Of Cure : Non-emission

stool
of
at
the time of urination and the free emission of

well as the rousing of the appetite,
flatus (Vayu), as
and
the lightness
of the
abdominal cavity (Koshtha)

in
are the indications of cure

(Diarrhoea,
etc.).*
a case of
Udaramaya
97.
The
printed edition
of Dallana's
commentary says
that
these
are
the
symptoms of cases of aggravated
Atisara.
Chap. XL.
UTTARA-TANTRA.
233
Static or
to the
Dynamic causes
eases and Treatment
Some diseases are due

may
of Dis-
the present or any prior existence), and
dynamics of Karaas (deeds done by a man in some are due to

in
the effects of deranged bodily Doshas, while there
be others which have their origin both

of
the dynamics
Karma and the necessary physiological (Doshaja) causes. Of these a Karma-origined disease may come
on without any apparent exciting factor and appears with the extinction of its (Karma's)
effected
it
dis-
result
(e. g.
by means
etc.)
of
any
is
remedial
measure
penance,
other than medical treatment, whereas as
a Dosha-origined disease
conquered as soon as the
involved deranged Doshas of the

their
body are
restored
to
normal condition.
Cases due to a slight derangea
ment of the bodily Doshas but attended with

deal of troubles as well
as
good
those due to the excessive
aggravation of the Doshas but attended with only slight

troubles should be attributed
both to the physiological

of
causes and to the dynamics
cured only
when both
of these
causes
Karma, and these are viz., Karma and

98.
(lit.
aggravated Doshas arc removed.
Grahani :The
affected
appetite.
Grahani
the uppermost
is
extremity or the receiving ducts of the intestines)
by
the
causes which produce

fire
dulncss
is
of
The
if,
digestive
after *
of a patient
again deattack of
still
ranged, even
Atisara,
the subsidence of an
with the dulness of appetite, he be
in-
temperate and injudicious in matters of food and drink.
Hence the regimen of

Atisara should be as laid
diet
and conduct
in
in a case of
down
connection with the
The
is
use of "^ffi(" in
the
text
shows, say the commentators, that
Grahani
possible even without a previous attack of Atisira.
234
sequel
TH E SUSHRUTA SAMH1TA.
[Chap.
XL
of any purgative course (Virechana), until the

res-
deranged Doshas of the body would be completely

health and strength in their
tored to their normal condition, bringing in the natural

train.
The
sixth Kala
(Pitta-
which has been described as the Pitta-dhara Kala

containing
sheath)
is
situated
?) is
between
called
is
Pakvas'aya
and Amaa'aya (duodenum

digestive
fire
strength of the organ of Grahani
Grahani. The dependent on the

is
(Agni) and
the latter
situate
in the
fire
former.
Hence anything that impairs the

of one
digestive
(Agni) necessarily affects the Grahani.
99-102.
The aggravation
the -food taken
fecal matter, or
is
or
all
the bodily Doshas

into which
leads to the derangement
of the Grahani
passed off in the

is
shape of undigested
if it
digested,
it
sometimes produces
constipation of the bowels and sometimes liquid motions
accompained
(in
is
both cases) by pain and
fetid
smell.
?)
The
disease
called
Grahani
103.
(chronic diarrhoea
by
experienced Physicians.
Premonitory Symptoms
digestion,
lassitude
'.incomplete
langour,
or
sense
of physical
laziness, thirst, a sense of exhaustion, weakness, aversion
to
food, cough, ringing in
the ears (Karna-Kheda) and
rumbling sound in the intestines are the symptoms which
mark the premonitory

:
stage of the disease.
104.
Symptoms Swelling
and of the
thirst,
or cedema of the hands
feet,
emaciation, pain at the joints, greediness,
vomiting, fever, aversion to food, burning sensa-
tion, eructations of bitter, acid or
fermented
taste,
or of
those smelling of blood or smoke, water-brash, bad taste
mouth and non-relish for food, as attack of Tamaka-Svasa (variety of asthma)

in
the
well
an
are the
indications
of
105,
the developed
stage
of
the disease
(Grahani),
Chap. XL.J
UTTARA-T ANTRA.
2$$
Specific
Symptoms
is
of GrahanI :
(Hridaya),
sides,
is
case of the Vrftaja type
accompained by a severe
thorax
the Pittaja type
aching pain at the
anus,
abdomen and the head. A case of marked by a burning sensation in

one of Kaphaja origin
heaviness in the limbs.
exhibits
is
the body, while the
characterised
by a sense of
case of Tri-Doshaja
to
all
Graham
symptoms belonging
cases (Vataja,
the three
Pittaja
symptoms of and Kaphaja types).

the
in
The deranged bodily Dosha involved

its
a case impartseyes,
characteristic
colour to the
finger-nails,
face
it
and excreta
furnishes
(stool
and urine) of the patient.

clue to
Thus
satisfactory
the diagnosis of
at
the
disease, which, if neglected or
unchecked
the outset,
may
piles
usher in
an attack of Hrid-roga (disease of the

(chlorosis),
heart),
Pandu
Udara
(ascites,
etc.),
Gulma,
emetics
and enlargement of spleen.
106.
Treatment and Diet ".Appropriate
and purgatives should be exhibted (for cleansing the upper and lower parts of the body) in accordance
with the aggravation of the Dosha or Doshas involved,
and Peyas
in
(gruels)
and other
articles
of diet duly pre-
pared with appetising

their
drugs should
then he prescribed
due
order.
Therapeutic agents possessed of
digestive, astringent
and appetising virtue should then

Surd,
be employed through the vehicles of

(wine),
Arishta
Sneha
(oil
or clarified butter), cow's urine, tepid
water, or Takra.
is
The
use
of Takra
in
the morning
in itself
an excellent cure
for the disease
(Grahani).
Remedies mentioned
of
in connection
with the treatment

ascites or
piles
worms
in the intestines,
Gulma,
in
may
uuder
also
be adopted
or the
with benefit
the disease
as
dfecussion.
churtta,
The compound known

medicated
the
Hingvddu
clarified butter
described as
236
remedial
THE SUSHRUTA SAMHIT X.
[Chap. XL.
in a case of enlarged spleen, or the one cooked with the expressed juice of C/idngeri and with the drugs of the Mdgadhddi (Pippalyddi) group
duly
as
Kalka may be likewise prescribed with

Clarified
beneficial
results.
butter duly cooked
with four times
as
much curd (Dad hi) may

is
also be used
with benefit.
etc.)
Whatever
appetising (medicines, drugs and diet,

in cases of
would be beneficial
(Upadrava) such as
Graham".
Complications
fever, etc.
should be subdued with
drugs not incomptible with the main treatment of nor

in
any way aggravative of the main

Thus ends
the fortieth chapter of the
disease.
107

medical
treatment of
SamhiU which
Atisira.
deals
with the (symptoms) and
CHAPTER
Now we
shall
XLI.
on the (symptoms and)
I.
discourse
medical treatment of Phthisis (ôsha-Pratishedha).
Nomenclature
ciation
in
Wasting or a general
A
ema-
frame marks the sequel of and comes as a premonitory symptom of an organic disease.
of the
cachectic
Any
a
condition
fever
is
of the body accompanied

called
by
dis-
low
lingering
Kshaya.
correct
diagnosis and
cussion disease
a radical cure
of the disease a
skilful
under
has baffled
is
many
physician.
The
nameds Sosha from the
fact
of
its
consuming
or drying up (Sosha
withering)
the vital principles of

It is
the body such as Rasa
serum,
etc.
is
called
Kshaya
(wasting) since a wasting process

all
found to accompany
the
functional
attack. Since the
body during its Moon-god, the king of the Brahmanas,

activities
of the
was the
also
first
to
fall
victim to
(king's
its
attack,
-f
it
is
called
Raja-yakshm&
2.
disease)
by some
authorities.
Some
body.
*
say that the
disease
is
produced
separate action of the three fundamental

It
by the Doshas of the

all
being usually found to be attended with

:
The mythological origin of dosha (Phthisis) is The Moon-god married 27 daughters of Daksha
Daksha entered the Moon-god
in
attached to Rohini in the extreme.

father-in-law,
of whom he was Thereupon the personated wrath of his

the
shape of Phthisis,
whereby the body of the Moon-god began to emaciate. The Moon-god became penitent and the wrath of his father-in-law having been subdued
at
the intervention
Phthisis
of the other
to
gods,
he managed to send
possession
down
the
personated
in
earth
to
take
of
men
indulging
any kind of excess and more particularly sexual 6XCSBS. The moon-god was then medically treated and radically cured by the celestial
physicians, the twin As'wins.
'
Cf. Scrofula
which
is
now known
as>
the "King's disease."
238
the eleven
THE SUSHRUTA SAMHITX

distressing
[Chap. XLI.
symptoms which
are manifested
simultaneously with the ushering in of the disease, and
being the only instance in the science of therapeutics

in
the
which the treatment does not vary according to variation of symptoms. This disease, Soeha, is
said
all
more properly
aggravation of
to
originate
in
the
simultaneous
symptoms
of the
3.
the three Doshas, and it is the most predominant Dosha only that
are manifested.
yCtlology
The
process of
pression of
and general symptoms :

in
any wasting disease
the system, re-
any
physical urging or propulsion, over-fatigu-
ing physical exercise and irregular diet
are the causes
which, by aggravating the bodily Doshas and propelling
them
all
over the organism, give
rise
to the disease.
The aggravated Doshas with Kapha
as the
most predo-
minant factor having obstructed the lymphatic channels, or the semen of a person having been exhausted by
sexual
excesses
consequently produce a loss
of
the
other Doshas or the principal elements of the organism,
thereby producing a cachectic condition
of the
body,
and the following symptoms,

ing six in
all
vis,
aversion to food, fever,*
asthma, cough, emission of blood, loss of voice, numberare found in cases of Raja-yakshma.
6.
Specific
mark
disease
Symptoms: The symptoms which

bodily Vaytl in the
of the
sides
are loss of voice (hoarseness), aching pain (in

contraction
the chest),
and stoop at the

are
shoulders (Ams'a),
while
those which
exhibited
fever,
through the action of the deranged Pitta are
burning sensation, Atisara and expectoration of blood,
and the
deranged
features
which
indicate
the action of the

of fullness in
Kapha
in the disease are a sense
the head, aversion to food, cough and a sense of the
Chap.
XLL]
UTTARA-TANTRA.
lump or plug
7.
239
presence of a
is
in the throat (as if
something
eye
rising up).
Prognosis
his
A
all
physician having an
to
professional reputation or
good name should not
take in hand the treatment of a case of Sosha (Phthisis)
whether marked by
the
preceding eleven kinds of

vis.
symptoms
or
attended
at
with six of them

loss
cough,
Atisara, pain
the
sides,
of voice,
aversion to
three
8.
food and fever, or accompanied
by only
symp-
toms,
viz. fever,
cough and blood-spitting,

excess,
toils
Symptoms Sexual
>
Other causes of &>sha and their

grief,
old age, overfasting,
fatiguing
ulcers
physical
exercise,
of journey,
and ulceration of the Urah

authorities within
(lungs) are included
by
this
certain
the
exciting
factors
of
disease,
is
Sosha.
case of Sosha
all
due to sexual
to
loss
excess
of
attended with
is
the
symptoms due
semen and
marked by palour or yellowness of

organic principles beginning
the complexion, the vital
with semen being wasted up in succession in their inverse

order of enumeration.
Constant
of the
brooding
over
all
the the
departed person, looseness
limbs and
symptoms
of sexual excess
other than the actual disgrief.
charge of semen mark a case due to

cachectic condition of the
lity
A general
body accompanied by imbeci-
of the mind, diminution of bodily strength, impaired
functions of the sense-organs, laboured or difficult breath-
ing (D. R. shivering of the limbs), aversion to food, a
gong-like voice, expectorations

of
marked by the absence

limbs), a general
mucus (A. R. heaviness of the

concerns of
ears,
life
to the
from the
apathy and (constant mucus) secretions nose, eyes and mouth are the symptoms
i
which indicate the origin of the disease
in the
natural
and spontaneous waste of an extreme old age.
9-12.
240
[Chap.
XLL
A
such
case due to the toils of journey or travel develops
symptoms as
looseness
of the limbs, flabbiness of

of complexion, a
the muscles, scorched
or burntness look, a
haggard and cadaverous

limbs, the absence
gone-feeling
in
the
of natural
gloss of the
body and
These
dryness of the mouth, throat and of the Kloma.
symptoms
in
addition to those of the ulcerated lungs
(Urah-Kshata) without actual ulceration, characterise the

type due to over-fatiguing physical exercise.
If
13-14
a case of ulcer
is
attended by
it
loss
of blood, pain
and
difficulty in eating,
is
is
turned to a case of Sosha
and
pre-eminently the most uncurable type of the
desease.
Rupture or ulceration
is
in
the
lungs (Urah-
kshata)
caused by physical exercises,
lifting
up heavy
loads, excessive
and loud reading, a hurt or a blow,

congress and
co-operation
or excessive sexual
require
such other acts as

entail
the active
of
and
excessive
dis-
straining
the chest fUrah).
They
ultimately
charge blood and pusy secretions.

purple coloured blood
is
Yellowish, black
or
expectorated or hawked
is
out the
by coughing.
and
in
burning sensation
felt
inside
region of the chest.

the breath.
fetid smell
is
felt
in the
The complexion
is
of the
mouth body and

suffers
the tone of the voice
changed
and
the patient
becomes
from.
senseless
from the excessive pain he

cases the
In certain
symptoms vary according

exciting factors, and
all
to the varied natures of their
the specific
symptoms are not fully exhibited. Nevertheless these diseases also go under the denomination of Kshaya (consumption) owing to the fundamental vital principles of the body being equally consumed
or withered
their
up
in
them, and
already
the
specific
mode
of
treatment has
been explained before

15-17.
(Chapter
XV,
Sutra-Sthana).

Chap.
XU]
UTTARA-TANTRA.
2+1
Premonitory Symptoms: Laboured

difficult breathing,
or
a.
a gone-feeling
in
the limbs and
sense of physical
lassitude, secretion of
mucus, dryness
of the palate, vomiting,

fainting
fits,
dulness of appetite, vertigo or
nasal catarrh, cough, somnolence, whiteness
of the eyes, desire for meat, and increased sexual propcn*

sities
are the
symptoms which mark the advent of the
dreadful
Sosha. The patient dreams that he has been borne on the wings of a crow or a parrot or a vulture or a pea-cock or has been riding a porcupine or
disease
a lizard or a
monkey
or sees in
dreams river-beds dried

8,
up and
trees dried
up or fanned by gales of wind or

fire.
J
surrounded by flames or fumes of
Prognosis
gradual wasting of the body

of Atisara (diarrhcea)
inspite of sufficient food, presence
and swelling of the abdomen and scrotum are the symptoms of a comsumptive patient who should be given
up.
The
treatment, however, of a
patient temperate
in his habits
and
strictly
conforming to the instructions

in
of the physician and possessed of a
and not much reduced
good digestive fire body may be taken in hand

15-20.
provided the disease be an acute one.
Treatment
first
The
patient
should
be made from
to use the medicated clarified butter prepared
the milk of a
ewe or a she-goat and duly cooked

emetics
the
the
with the drugs of the Sthirddi (Vidari-gandhadi) group,
and then mild

injections
after
and
of
purgatives.
Intestinal
manner
preceding
an Asthapana Vasti
measures and
be applied.
should follow
medicinal should
hcad-purgativc (Siro-vircka)
diet
The
should then be given consisting of (cooked) wheat,

Construc-
barley S'd/t-rice together with meat-essence.

tive tonics or tissue-builders
(Vrimhana) should be given to a patient with a gqod digestion and relieved of

.3*
242

symptoms
or concomitants.
[Chap,
XU.
all -distressing
Complicaexcess,
tions
peculiar to the action
of
the deranged bodily

to
Vayu
generally
mark
virtue
22.
case
due
sexual
wherein
constructive
tonics
Vayu-subduing
efficacious.
and remedial agents of would be found to be extremely
21
Diet meat, etc.
The
flesh of a
crow or an
owl or a mungoose or a cat or a Gandupada (earth-
worm) or a cormorant or a beast of prey (Vyala) or of any animal of the Viles'aya or Jangala class mixed
with Saindhava
salt
and
fried in
mustard
oil,
should be
prescribed in various
Phthisis.
ways
for
a patient laid up with
The
diet
may
also consist of
Mudga-soup or
well
of Arf/iaki-soup or of the flesh of an ass, camel, elephant,
mule or horse variously prepared and
cooked.
Meat in combination with any Arishta as mixed with Mddhvika may also be given. Various articles of food made of
with Arka and Amritd
Clarified
well as
23.
wine
barley-grains
previously soaked in the alkaline water duly prepared
may
off
likewise
be
prescribed.
butter
skimmed
from the milk of a ewe
or a she-goat,
may
be given with gruel at the meal-time
to .an extremely emaciated patient.

sisting of
Tri-katu,
Chavya and Vidanga
compound conmade into a
paste with honey and clarified butter should be given to
be licked up by a patient suffering from Phthisis.
The
use of a medicated clarified butter duly cooked with the
essence of
any carnivorous animal and mixed with Pippali and honey as an after-throw proves
the
flesh
of
remedial
in a case
of Phthisis.
lambative consisting
of Drdks&d, sugar and
Mdgadhikd pasted together with

to
honey and
oil
proves efficacious as a cure for Phthisis.

the use of a lambative
A, case of Phthisis would yield
consisting of Tila, Mdsfia-pulse
and A/vgandAd ground
Chap. XLl.]
UTTARA-TANTRA.
honey and
243
clarified
to a fine paste with the addition of
butter
sugar,
skimmed out
of the
milk of a she-goat, or of
the addition of honey and
As'vagandhd and Pippali pounded together and

into a fine paste with
made
clarified butter.
Milk duly cooked with the admixture of

be prescribed as a constructive
tonic.
As'vagandhd
Butter
may
skimmed out of the preceding preparation of milk and mixed with copious quantity of sugar should
be taken, as an alternative, every morning and
should be then followed by a draught of milk.
24.
this
As'vagandhd, Punarnavd and

in
Yava should be used

Clariof)
rubbing (Utsadana) the body of the patient.

butter duly
fied
cooked with (the decoction

tree
its
the
whole of a Vdsaka
(vis., its
roots, leaves,
branches
and barks) and with
flower (as
Kalka) and mixed
with an adequate quantity of honey* should be taken
by
consumptive patient
diet.
strictly
conforming to the
attack
of Phthisis
regimen of
Thus a
virulent
accompanied with cough, asthma and chlorosis would

be speedily conquered.
25-26.
wise physician should take equal parts of clarified

milk, decoctions
butter,
of
Murvd, Haridrd
and
and of
Kfiadira and the expressed liquid of the dungs of a cow,
a horse, an
elephant,
she-goat
a ewe.
Ten
equal parts of the above ten articles should

boiled and cooked together with the
Tri-katu, Tri-phald,
be duly
Kalka
of
powdered
butter
Devaddru and the drugs of the sweet
(Kakolyadi) group.
This medicated
in
clarified
would be found highly beneficial

(Yakshma).
27.
the cure of Phthisis
Six Patra measures of the duly prepared decoction of
Das'a-mula Vatuna, Karanja', Bhalldtaka, Vilva,

x
the'
two
different language
This preparation is also found in the Charaka Samhjta under the treatment of Rakta-pltta.
though in
244
the siiskRUTA
SAtitiirA.
tcUp.
xt.i.
kinds of Punarnavd,
Yava, Kulattha, Badara, Bkdrgi,
Pdthd, Chitraka and

with a Patra measure
Mahi-Kadamba
should be cooked
of clarified butter
and with (the
Vyosha (Tri-katu), the milk of Mahd-vriksha (Snuhi), Abftayd, Chavya, Devaddru and Saindhava salt
of)
Kalka
(D. R. Pippali).
The medicated
clarified butter thus pre-
pared proves efficacious
in cases of Phthisis, Ascites
and
Vataja-Prameha.
cooked with the
milk, blood, meat-essence
and the expressed liquid of and a she-camel and with
the dungs of a cow, a mare, a ewe, a she-goat, a cowelephant, a hind, a

she-ass
the Kalka of Drdkshd, As'vagandkd,
Magadhd and
sugar
proves extremely beneficial in cases of Phthisis. 28-29.
EleTdi-mantha I A
fied butter
Prastha measure of
clari-
should be duly cooked with the decoction of
Eld, Ajamodd, Amalaka, Abhayd, Akslia, Gdyatri, Ariskta,
As ana,
S'dlasdra, Vidanga, Bhalldtaka, Chitraka, Ugrd*,
Ambfwda and Surd s/itraja-ea.rth. When duly cooked it should be taken down from the oven and
Tri-katu,
thirty
Pala
weight of candied sugar, six-Pala-weight

(Vams'a-lochana)
of
Tugd-kshira
and
it
two-Prastha-
measure of honey should be added to

with a laddie.
followed by a
licked
and
stirred
Pala weight of
this
preparation
draught of milk should be given to be

a
Phthisical
patient.
every morning to
is
present elixir
possessed
of ambrosial sanctity.
The The
extent of
its
therapeutic application
embraces such
fistula-in-
diseases of the
body as
of
spleen,
Phthisis,
chlorosis,
ano, asthma,
heart, enlarged
indigestion.
loss
voice, cough,
troubles
of
the
Gulma and
chronic diarrhea or
it,
It
imparts longevity to a person using

faculties
leads to the expansion of his intellectual
and
Ckkrad*tt doe* not
read
Ugri
in the
list.
Chap. XLi.]
UTTARA-f ANTRA.
It is
24
the best of
all
tends to invigorate his eye-sight
rejuvenating preparations cf our pharmacopea and no strict regimen of diet and conduct is required to be
followed while
it is
used.
30.
The medicated
clarified butter
mentioned under the
treatment of Plihodara (dropsy of the abdomen owing

to the enlargement of spleen
Chapter XIII, Chikitsitaothers mentioned

in in
sthana) as well as the three
that
connection
may
be also used with advantage
the
disease under discussion.
The accompanying symptoms

etc.
or complications such as hoarseness of voice,
should
be remedied with appropriate medicines presented for

those diseases
in
the Sastras.
The
patient should be
urine,
made
to
use regularly the
milk, butter,
blood,
meat and the (expressed liquid of the) dung of a goat as his bath or in any other way possible (e.g., in drinking) and to live in a goat-shed (in the company of goats) whereby he would be cured of his Phthisis in a month. A Phthisical patient should likewise be made to take Rasona (garlic) or Ndga-vald or Mdgadhikd or Sfil&jatu with milk, in the prescribed manner (laid down in
connection with the medical
treatment of Maha-vatashould not allow any

equilibrium of
Vyadhi).
31-34.
Rules Of COndUCt : He
grief,
anger or jealousy to disturb the

life
his
mind, should lead a
of strict
continence, deal
in the discussion of
sublime subjects and conform to the

advisers or physicians.
injunctions of his medical
He
from
should pay respects to the gods, superiors&nd Brahmanas
and
listen to the discussions of the spiritual truths

35.
the lips of Brahmans.

Thus ends the
forty-first
chapter of the Uttara Tantra in the Sus'ruta
Samhita which deals with the (symptoms and) treatment of Phthisis.
CHAPTER
Now we
with the
shall discourse
XLII.

of
symptoms and) medical treatment

i.
Gulma
(Gulma-Pratisheda).
Definition
and number of Gulmas :

the cavity of
The fundamental principles of the body, deranged and aggravated by their respective or specific exciting
causes and factors tend to accumulate in
abdomen (Koshtha) and help the formations of balllike tumours or Gulmas (Internal tumours inculsive of those known as the phantom tumours) somewhere inside the body lying between the extreme confine of the regions of the heart and of the bladder (Vasti). The Gulma is of five kinds and found to be round or
the
spheroid in shape and
shifting)
in
be either fixed or mobile (lit. their character and subject to variations in

size.
2.
may
their
mass and
Localisation
They have
vis.
and nomenclature :
the abdominal
of
cavity,
five locations inside

sides,
the two
the
region
the
heart,
the
bladder
(Vasti)
and
the "region
of the
their
umbilicus).
The Gulmas
be exactly
are so
named because
owing
to
root
or
base
cannot be exactly localised as well as their cause cannot

ascertained
in
the
fact
of
their
having their origin

local
the
aggravated condition of the
bodily Vayu, or
because of their being but a

in the
agglomeration of the deranged bodily Doshas

affected locality
of the
surface
(Gulma-shrub).
and the shrub-like large converse outline Since a Gulma, like a
bubble of water,
is a self-ccntained agglomeration of the deranged bodily Doshas and freely moves about in the cavity of its growth, it is not marked by the advent of
Chap. XLII.]
UTTARA-TANTRA.
its
247
any suppurative process in Gulmas are the products of
mass or body.
several
in
The
either the
or con-
certed actions of the three" Doshas, while
females a
separate class of tumours (such as the ovarian or uterine
tumours) intimately connected

vitiated condition of the
with the deranged or

fluid, etc
)
blood (catamenial
is
also recognised.
5.
Primonitory
lassitude,
intestines,
Symptoms
of stool,
to
: A
sense
of
dulness
of appetite, pain
suppression
urine
full,
and rumbling in the and flatus, inaversion to food,
capacity to take
food
the
and an upward coursing of the internal Vayu are the indications which may be set down as the premonitory
symptoms
of Gulma.
6.
Specific
Symptoms
and
all
: Pain
(Sula)
in the
region of the heart and
the belly (Kukshi), dryness of
the throat and of the mouth, suppression of

irregularity of digestion
specifically indicate the
Vayu
(flatus),
other symptoms which deranged condition of the bodily

of the Vrftaja-Gulma.
Vayu
are the
characteristics
Fever, perspiration, defective digestion, burning sensation, thirst, redness of the in the
body (Anga-raga), bitter taste mouth and all other specific symptoms of the deranged Pitta mark the Fittaja type of the disease.
sensation of wetness
all
over the body, an aversion to

taste in the
food, lassitude, vomiting, water-brash, sweet
mouth and
all
other specific indications of the deranged
Kapha are exhibited in the Kaphaja type of the disease. The Tri-doshaja type exhibits the symptoms specifically
belonging to each of the preceding ones and should be regarded as incurable. 7 9.
Symptoms
bodily
of Raktaja-Culma :The
The
delivered of a child as
symptoms of Raktaja-Gulma are mentioned below.
Vayu
of a
woman newly
248
{Chap. XLII.
well as that of a
woman who
courses
is
has recently miscarried, or
of a
woman
in her
deranged by the use of

regimen of con-
unwholesome or
duct),
injudicious food (and
and by supressing the discharge of the blood (lochia) it gives rise to Gulma attended with pain and
burning sensation.
Gulma
of
this
type
is
easily
all
mistaken for a case of conception, which exhibits

peculiar to the
of the
the symptoms of pregnancy as well as those which are

state
Pittaja
type, with the
abdomen does not enlarge and there is no movement (in the womb).' The medical treatment of a Gulma of the present type should be
exception that
the
taken in hand after the lapse of the natural term of

gestation
and
this
is
known
as the Raktaja-Gulma *
10.
by the experienced
physician.
General Treatment :A
person suffering
from an attack of Vrftaja Gulma should be duly treated with a Sneha, purged with any fatty purgative and
then treated in the proper time
with
Nirudha and
Anuvasana
clarified
Vastis.
In
a case of Pittaja type of the
disease, the
patient should
be treated (rubbed) with
and cooked with the Kdkoly&di group and then being properly drugs of the
butter duly prepared
purged with the compounds

Vastis.
of sweet drugs (of the
Aragvadhadi group) he should be treated with Nirudha

In a
first
case of the
Kaphaja
type, the patient
should be
anointed with a medicated Ghrita duly

a
cooked and prepared with the drugs of the Pippalyddi

group, then purged with
strong (Tikshna) purgative
the
and then treated with Nirudha Vastis of

*
same
This Raktaja Gulma
is
peculiar (o the females only.
But some
authorities ate of opinion that a kind of Roktaja (blood-origined)
Gulma
doe to the
vitiated blood of the
organism may be possible both in the
males and females.
Chap. XLII.]
UTTARA-TANTRA.
249
character. In a Tri-doshaji type,
measures held to be
remedial for each of the Dosha s should be
adopted or
employed.
Measures
laid
down
in
connection with the

as well
Pittaja type of the disease should be

in cases of
employed
in
Raktaja (blood-origined) Gulma

hear
female
patients.
Now
me
describe the recipes of the medi-
cines
which would particularly lead to the disintegration

blood
(in
of the
butter
cases of Raktaja
Gulma).
with
the
Clarified
duly cooked and
prepared
alkaline
preparation of Palas'a
wood (water charged with

be
clarified butter
the
burnt ashas of Palas'a) should

tered,
internally adminis-
and the medicated
known
as
the
Pippalyadi Ghrita should be employed after the manner

of an Uttara-vasti.
(of blood) should
discharge
be induced with the help of the drugs

(e.g
,
of heat-making (Ushna) potency
Pippalyadi group)
and measures
has fairly
laid
down
in
connection with menorrafter
hagia (Asrigdara) should

set in.
11.
be adopted
the
flow
Anuvasatia : The
oil,
use of curd, clarified butter,
marrow of Anupa (such as boar buffalo, etc.) and Audaka (aquatic) animals, boiled together and applied after the manner of an Anuvsteanalard
(Vasa) and
vasti,
proves beneficial
in
case
of Va'taja-Gulma.
The
application of similar Vastis charged
with a solu-
tion of clarified butter
and the lard of animals of the

groups proves
efficacious
in
Jangala and Eka-s'apha
the Pittaja type of the disease, while the application

of these
containing solutions of
will
1
oil
and the marrow of

in
any Jangala animal

the
*
prove beneficial
a case of
Kpahaja
type*.
2-1 5. the use

of
in
Dallana recommendj
Vayu subduing, Pitta-subduing

the
and Kapha-subduing drugs as Kalka

Vastis respectively.
preparation of these three
25
THE &USHRUTA
SAMHITXi,
[Chap. XLil.
In a case of the Vrftaja type of Gulma, the
patient
should be
made
to
use the
medicated Ghrita duly
cooked with the expressed juice of Amalaka and with

the
Kalka of the six drugs * and with the admixture of sugar and Saindhava (as an after-throw). 1 5.
Chltraka Ghrita : Clarified

cooked with
curd,
butter
duly
fermented rice-boilings
of
(Kanjika)
as well as with the decoction

pressed juice of
Tri-katu,
Vadara and the exof Chitraka,
Mulaka and with the Kalka

Prithvikd,
Aj'dji,
Saindhava,
Chavya,
Dddima,
Dipyaka, Granthika,
Habushd and Dhanydka

of
taken
in equal parts,
(colic),
'
proves curative in cases of Vitaja

distention
16.
Gulma, Sula
the
abdomen and
dulness of appetite.
Hingva'di Ghrita : Clarified

ed with Hingu, Sauvarchala-salt, Ajdji,
Dipyaka,
butter duly cookVit-salt,
Dddima,
Pushkara,
Vyoska, Dhanydka,
Amla-vetasa,
,
Yava-kshdra, Chitraka, S'athi,
Vachd, Ajagandhd, Eld
and Surasa
Gulma,
as
Kalka and with the admixture of curd

in
(Dadhi) as liquid, proves efficacious

colic-pain
a case of Vataja
and suppression of Dddima,
stool
and
urine.' 17.
Dgfdhlka Ghrita
cooked with
Vit-salt,
'.Clarified
butter
duly
Saindhava, Chitraka,
Vyosha, Jiraka, Hingu,
Sauvarchala-salt,
Yava-Kshdra,
vetasa
and AmlaKalka and with the expressed juice of Vija-pura and with curd weighing four times as much as of Ghrita, proves curative in cases of Gulma, enlargeRushtha, S'unthi,
as
Vrikshdmla (turmerie)
ment of
prepared
spleen
is
and
Sula.
The
clarified
18.
butter thus
called Defdhika-Ghrita.
RaSOna Ghrita :Clarified butter duly
cooked
with the admixture of the expressed juice of Rasona

* The six drags to be used as Kalka are Pippali, Pippali-rnula, Chavya, Chitraka, Nagara and Yavn-kshara taken one Fala ol each.
Chap. XLII.]
UTTAKA-TANTIU.
25!
and with the decoction of (major) Pancha-tnula as well as with wine (Sura), Aranala (fermented rice-boilings),
curd,
and the expressed
juice of
Mulaka, with the Kalka
of Vyosha, Dddima, Vrikshdmla, Yamdni, Chavya, Sain-
dhava, Hingu, Amla-vetasa,
Ajdji and Dipyaka (Aja-
moda) taken
of
its
in
equal parts, includes within the range

efficacy
curative
such diseases of the body as

diarrhoea), piles,
Gulma, Grahani (chronic

sanity,
asthma,
in-
consumption, fever, cough, epilepsy
(Apasmara\
and
(a
dulness of appetite, enlargement
of spleen, colic,
19.
the derangements of the bodily Vayu.
An Adhaka
kind of Kanjika),
measure each of curd, Sauviraka

clarified butter
and the decoctions of Mudga and Kulattha pulse should be cooked with the
admixture of two Pala weight of each of the following
drugs,
viz.,
Sauvarchala, Sarjikd, Devaddru and Sain-
dhava.
The medicated Ghrita thus prepared proves curative in cases of Vataja Guhna and acts as a good
20.
appetiser.
Chritas in Pittaja and Raktaja ClllmaS : Clarified butter duly cooked with the
Kalka of the drugs or the Jivaniyi (Kakolyadi) group and with the decoction of the component members of the Trina-panclia-mula, or of the Nyagrodhddi or of the
Utpalddi group, would
cases'of Pittaja and
undoubtedly prove curative

21.
in
Raktaja Gulma.
Chritas in Kaphaja
of the
Gulma : A
yielof to- the
Gulma
use of
Kaphaja type would surely
medicated Ghritas duly cocked with the drugs of the Dipaniya (Pippalyadi) group as Kalka with the admixture (as liquid) of the decoction of the
component memthe
alkaline
bers
of either the
Aragvadhidi group,
(Mushkakadi) group or the Kragvadhddi Gana, or with the officinal group of (animal) urines. 22.
2$2
[Chap. 3tLll.
Gulma
of
the
Srfnnipsftika type (due
to
the
concerted action
of
all
the
three fundamental Doshas
of the body) should
dominance
of
be treated according to the preany specific deranged bodily Dosha
involved therein.
at the proper time
The
patient should be
made
to
take
in)
(?>,as soon as the disease sets
the pulverised
or
compound known as the Hingvddi-churna the medicated Ghrita known as Tilvaka-Sarpih or the
(w's.
one
Shatpalaka Ghrita) which has been described

enlargement of the spleen, as these
in
as curative of the
a case of Gulma.
23
24.
Internal USe Of KshcCra : Alkaline

paration should be duly
vis.,
pre-
made with
stems
the following drugs,

Ti/a,
)
the allies
<>i
(dried
of)
IksJmraka,
Sarshapa and Vavn and of (the barks of

of
Palds'a and
Mulaka with the
urines (weighing four time^ as
much)
This
of a cow, she-goat,
ewe, she-ass and she-buffalo.

then be cooked
in
alkaline preparation should

vessel
an iron
and on a slow
fire
with one Pala weight of each

drugs, vis, Kushtha, Sain-
of the following pulverised

d/iava,
Vidanga and Ajamodd and with ten Pala weight of Sdmudra-salt thereto added
Yashti-madhu, Ndgara,
the
and, should be taken in
form of a lambative with
one or the other of clarified butter, curd, wine, fermented rice-boilings (Dhanyamla), warm water or the soup
of Kulattlia.
The
alkaline
undoubtedly proves curative

the derangements of
compound, thus prepared, cases of Gulma and in the bodily Vayu. Compounds
in
consisting of Sarjikd-Kshdra,
Ketaki taken with
oil*,
or
of Sarjikd-Kshdra,
Kushtha and the ashes of Kushtha
According
nil
to Dallana,
1st
Sarjikfi-KshiSra,
Kushtha and YavaKshira

the
with
would foim the
compound and
KetakaVKshara with
oil
would form a separate compound,
'
Chap.
XLIt
UTTARA-t ANTRA.
253
and Saidhava taken with tepid water, would subdue an

attack of the deranged bodily Vayu.
25-26.
VriSChlrarishta : The
Vris'chira,
drugs
known
two kinds
as
Uruvuka,
Varshdbhu, the
of
Vrihati and
Chitraka should
be duly boiled together
with a Drona-measure of water and taken down

the
from
oven
after three-fourths of the

It
water are evaporated

into
by
boiling.
should then be poured
an earthen
pitcher of which the interior has been previously coated
with pastes of Mdgadhi, Chitraka and honey.

of
One
Seer
powdered Pathyd and four Seers of honey shonld be

to
its
subsequently added
contents
in
and the pitcher

contents
of his
pre-
should be then kept buried

days, after which
it
a heap of husks for ten

its
should be taken out and

aftei
should be given to the patient

daily
food.
the digestion
The Arishta (fermented wine) thus

in
pared proves curative
cases
of
Gulma, indigestion
and aversion
to food.
27.
Powders of Pdthd, Nikumbka, Rafani,

phald, Agnika
{Chitraka), Saindhava-saXt
vija (Indra-yava) in
Tri-katu, Tri-
and Vrikshaor the
equal parts should
be taken with
;
matured treacle of their
combin d weight
the
powders of the above drugs with pulverised

(weighing a fourth part only of
other
Pathyd
powders
urine
taken
together) should
be
cooked with
cow's
(weighing four times) to a thick consistency and

into pills
made
which should be taken

patient).
in
an empty
stomach
(by
the
These medicines? would radically
cure the
cases of
Gulma, enlarged
spleen,
indigestion,
heart-disease,
chlorosis.
28.
chronic diarrhoea
and violent forms of
BlOOd-Ietting : Blood-letting
tion of leeches or
case of
by the applicaby venesection should be effected in a elevated and immobile (unshifting) Gulma
2$4
characterised
THE SUSHRUTA
by
SANtitlTA.
[Chap. XLlt.
Sula, burning
29.
sensation,
inflamation
and piercing pain.
Diet and Sveda :Drinks composed

meat-essence of an animal of the
fusely salted with
of
the
Jangala group, proclarified
Saindhava and mixed with
butter
for
and
Tri-katu
Gulma-patients.
lukewarm are good Peytfs prepared with the Vayuand

taken
subduing drugs and the soup of Kulatt/ia-pulsc cooked

with a Sneha as well as the Khada-yueha prepared with
Pancha-mula also
a case of
are
likewise
efficacious
as
Diet.
in
Draughts of milk with Ardraka should be prescribed
Gulma attended with
the
suppression of stool
and
Fomentation (Sveda) after the manner of Kumbhika, Pinda and Ishtaka (see Chapter XXXII)
flatus.
Chikitsita Sthana) are also efficacious.
30
32.
Purgatives preceded by the application of fomentation should be exhibited to
a Gulma-patient, since
it is
extremely
of the
difficult
to
purge him.
Vilepana (massage
Gulma), application of unguents and poultices,
after
Samdahana (cauterisation) as well as tepid fomentation the manner of S>alvana-Sveda and the like are
applicable.
in
likewise
Medicated Ghritas, powders and

connection with the treatment of
Vartis mentioned
Udara as well as medicated salts? mentioned under the head Udaramaya* are likewise applicable in the present
disease.
33-34.
of
Medicated Flags or Vartis made
Sdmudra
f,
* Udaramaya
(Vata-vyadbi)
ferable since
is
may mean
are
cither
indigestion or
ascites.
is
t.
Anilamaya
a variant addopted by Dallana and

several
undoubtedly preg.,
there
in
medicated salts
Palra-Lavann,
Kanda-Lavana,
rita
the treatment of Vata-Vyidhi.
Sec Chap. IV, Chikit-
Sthana.
it
t According to some 'Sumudra' means Samudra-salt and others,
mean* Samudra-Phena.
Chap. XLII.]
UTTARA-TANTRA.
2$5
Ardraka, Sarshapa (mustard) and a profuse quantity of
Markka
rectum
in
pasted together should
be inserted into the

case of
suppression of stool and flatus in a
Gulma, Arishtas made with Danti -roots, Chitraka-roots, Vayu-subduing drugs according to the or with the
manner
laid
down
in the
Sutra-sthana should be pres-
cribed, or the patient should be

fried tender sprouts
made
to
use the duly-
of Putika
and Nripa-Vrikska.
Gulma Vayu should not be treated with Nirudha-Vasti. 35 37. Compounds of Trivit and S'unthi or of treacle and
patient with the upward coursing
of his bodily
powdered Haritaki* as well ab of Guggulu, Trivit, Danti, Dravanti, Saindhava and Vacha should be administered through milk, wine or the expressed juice of
grapes, according to the strength (of the
disease and of
j>nd
the patient).
the addition
taken.
Pilu
made
into ,a
paste
salted with
of Saindhava
should also
be similarly
Pippali-roots,
Wine
surcharged
with Pippali,
Chavya, Chiftaka and Saindhava and taken at an opportune
moment
(/. e.,
when attended with

in a
tympanities,
etc.)
would prove readily curative

Gulma-patient
afflicted
case of Gulma.
with a suppression of stool and
of flatus should
take barley with milk or Kulmdsha

salt
(Masha-cakes) profusely saturated with

butter.
and
clarified
38-39.
Supervening Symptoms
is
its
supervening
:if s'uia which symptom anyhow appears whereupon
the patient suffers a kind of digging ajid piercing pain
resembling that arising from the piercing of a dart,

there will also appear the
following distressing
con-
comitants according to the Dosha or Doshas involved,

* According to
some commentators the

.
first
two compounds should be
taken with water.
856
THE SUSHRUTA
supression of stool
SAMHITA".
[Chap. XIAI.
vis,,
and
urine, difficult respiration,
and numbness or
aggravated Vdya),
stiffness
thirst,
of the limbs (in cases cf

in-
burning sensation, vertigo,

colic
digestion of food, and excess of the
pain
(in cases
of aggravated Pitta), and goose-flesh, aversion to food,
vomiting, increase of pain
after the taking of food
and
such
a sense of lassitude in the limbs (in cases of aggravated-
Kapha)-
The
course of
medical
treatment
in
cases should be determined
by the nature and number

lying
at the
40.
viz.,
of the deranged bodily Doshas specifically

root and should be as follows.
The
following three compounds,
(r)
PathyA,
the three kinds of salt (Saindhava, Sauvarchala and Vit)
Yava-Kshdra,
Satdvari,
Hingu,
Tumburu, Pushkara,
;
Yamdni,
Triphald,
Harid'd, Vidanga and Amla-vetasa

S'ringdta,
(2) Viddri,
Guda-s arkard
(Gangeri-phala),
Kds'mari-phala,
dal
Yashtld-madliu, Patusliaka, Hinia (san-
wood) and
(3)
Shad-granthd (Vacha), Ativislid, Dcva-
Markka, Vrikshaka, Pippali-mula, Ckavya, Ndgara, Kshdra (Yava-ksh&ra) and Ckitraka should be respectively given in the VAtaja, Fittaja and Kaphaja types of the disease. The: medium through which these compounds should be given would be tepid Amladdru, Pathyd,
Kdnjika, luke-warm milk and
tepid
water respectively.
be jointly
The
preceding
three
compounds should
any
case.
administered in sets of two or three when two or three
Doshas are involved

Sprinkling
in
41.
(of water),
baths,
plaster (Pradcha)
un-
guent? and dietetic treatment should be similarly applied

in
Vataja cases.
Contacts with vessels

in
filled
with cold
use
water should be applied

of emetics,
Pittaja cases, while the
rubbing, fomentation (Svcda), fasting and
other Kapha-subduing remedies should be

in
recommended
Kaphaja
types.
Applications of Sneha and su:h-like
Chap. XLII ]
UTTARA-TANTRA.
are
specifically
257
remedial
measures
recommended
'
in
the disease, according to the

in
Dosha
or Doshas involved
each case.
42.
Prohibited articles : A
meat),
person suffering
from Gulma, should refrain from taking Vallura (dried
Mulaka
fruit.
(radish), fish, dried pot-herbs,
tion of pease, Aluka, (potato of
any preparaany kind) and any kind
of sweet
43.
Causes and symptoms of ula :Now

I
shall deal
with the causes, the characteristic symptoms

in
and the treatment of Sala occurring

locality of a
any
of
specific
Gulma even without
its
actual presence or
flatus
formation therein.
(Vita), stool
voluntary retention
or urine, over-eating, indigestion, eating

of previous food, over-exertion, use
before the digestion
of articles of food which are incompatible in their combination, drinking water

grains, dry food or
when hungry,
use of germinated
cakes of dry meat, as well as the use
of other such-like articles of fare, derange and aggravate
the bodily Vayu, which produces a violent cutting and
spasmodic pain
(Koshtha).
(>ula) in
the main cavity of the trunk

if
with a
The patient complains of as Samku (spear) in the inside and

fact
being pierced
of a feeling of
suffocation under the influence of that excruciating pain,
which
(lit.
has determined the nomenclature of Sala
spear).
44
Vsftaja Sula: The

whenever
in
45.
patient
experiences
violent colic
an empty stomach and he
feels
a difficulty of respiration.
The limbs seem
to be
numbed
or stuffed and the flatus, stool and urine arc evacuated
with the greatest difficulty
these
are
the
symptoms
which mark the Vrftaja type of the disease. 46. PIttaJa llla :Thirst and a bifrning sensation
in the
body attended with an excruciating pain,

33
giddi-
258
THE SUSIIRUTA
loss
SAMIIITX.
[Chap. XLIl.
n6ss,
of consciousness,
desire
for
cold things
and
are
amelioration on application
of cooling
measures,
47.
the specific features of the Pittaja type.
Kaphaja and Sa'nnipa'tika ulas :

An
agonising pain attended with nausea, excessive
full-
ness of the stomach and
a sense of heaviness in the
limbs are the indications which distinguish the Kaphaja
type of the disease.

action of the three
The type due
to the
concerted
simultaneously deranged
Doshas of
body (Sa'nnipa'tika Sula) exhibits all the series of symptoms which respectively mark the preceding types,
the
and hence
it is
said to be incurable.
48-49.
General treatment : The

been described.
Now
hear
me describe
bodily
symptoms have the mode of mediin
cal treatment (to
be generally pursued
curing a case
of Sula). Since the deranged

principal
Vayu
(which
is
is
the
and immediately exciting

hence
it
factor,
very active
in its operation,
should be speedily subdued.
Fomentations with Pdyasa, Kris'ard or cooked meat

saturated with any Sneha (clarified butter,
etc.)
should
a
be resorted cooked
to.
Fomentation naturally gives
relief to
patient suffering from Sula.
The
patient
should take
his
7m/nV-leavcs
(as
pot-herbs)
with
mea's
;
cooked with a Sneha

with
(clarified butter)
and served hot

flesh
or he should eat the tender sprouts of Chiravilva fried

oil,
or drink the meat-essence
of the
of
any
birds of the Jangala group charged with a Sneha, or take
the meat of any animal of the Viles'aya group.
50.
Treatment of Vtaja 3ula : Surd,

raka (fermented
rice boilings), S'ukta, the
Sauvi-
cream of curd
and ^das'vit
salt *
*
(half-diluted
Takra) saturated with Kdla-
should be taken in a case of Vtftaja Sula.

'Vit-salt',
The
Pal'nnn,
Kala Lavana generally means it means \Sauvarchala-saH'.
but
here,
according to
Chap.
XLIL]
UTTARA-TANTRA.
2 $9
articles (e. g.
soup of Kuluttha with an adequate quantity of the acid pomegranate, etc.) and cooked with the
soup of Ldta bird salted with Saindhava and seasoned with pepper, exercise a curative efficacy in a case of
the
Vayu-origined type.
The compound
of Vidanga,
S'igru, Kampilla,
Pathyd, S'y&ma, Amla-vetasa, Surasd,
As'va-karna and SauvarcJiala should be taken with wine

in
an attack of the Vayu-origined type of Sula. 5152.
A
Ajdji,
pulverised
compound
Yavdni,
consisting
of
Prithvikd,
Pippali,
Chavikd,
Vyoska,
Chitraka,
Pippala-mula and Saindhava pounded together should be
taken with milk or Kdmbalika or Madhvdsava (wine of
honey) or Chukra or Surd (wine) or with Sauviraka

(fermented
pulverised
rice-boilings)
as
alternatives.
The above
in
compound should be soaked
the
ex-
pressed juice of Mdtulunga and
with the decoction of
Badara
several
saturation,
times after the manner of Bhavana and the compound should be taken with a
of Hingtt,
profuse quantity
and with
sugar.
Varti
of)
made Dddima wood mixed together should be

treacle or
of the same powders and pulverised (pith
licked with
honey
or taken with
wine
in cases
53.
of Vataja
Sula as giving an instantaneous
relief,
In a case of Sula due to hunger, light

diet
and sparing
should be given with lukewarm
milk,
butter.
Yavdgu or
Emulsive
meat-soup
diet
charged
with
clarified
should
be given in a case of Vataja Sula to a
patient of dry or parched organism, use of well seasoned
Ghrita-puras being specially recommended.
The
he
patient
should also take Varum' wine wherefrom

relief.
will
get
54 55.
*
treat-
Treatment of Pittaja ula : The
ment of Vataja Sula has been described above. Now I shall narrate the therapeutic agents and remedies in

i6o
THE
fatJSHRtJTA
SAMHITX.
[Chap.
XLIL
respect of Pittftja-ala.
person afflicted with an

of the disease, should be
effort
attack of the
present type
made
to
to vomit without
any violent
by drinking
(a stomachful of) cold water.
He
should have recourse

all
cooling
measures and avoid

silver,
heat-making ones.
stones and cooling
Vessels of copper,
or precious
gems and
filled
up to the brim with water, should be

of, clarified
placed upon the seat of affection (Sula) in his body.

Treacle, barley, S'a'li rice, milk, (draughts
butter,
purgatives, the
flesh of
any Jdngala animals

All
these should be prescribed in cases of Tittaja Sula.
Pitta-generating articles should be avoided and those which soothe the Pitta should be used. The soup of the
meat of Jangala animals may be taken with sugar as an Parushaka, grapes, dates and aquatic fruits alternative.
such as S'ringa'taka,
etc.,
should alto be taken with

56.
fit
sugar as they tend to relieve Pittaja Sula.
Treatment of Kapha ja ula : a

Sula due to the action of the deranged
vated just after
in
of
Kapha
is
aggra-
eating.
Vomiting should be induced

draughts of the decoction of
,
such a case with
Pippali*.
Dry fomentations and
other heating measures
should be likewise resorted to and the patient should be
made
cases
to take Pippali
and S'unthi
of Kaphaja
Sula.
any shape) in Pdthd, Vachd, Tri-katu, and

"(in
Katuka-rohini should
Chitraka, or the
be used with the decoction of

(of
soup
any S'ula-subduing
article)
should be taken with an equal part of Arjaka.
57-58.
Seeds and roots of Eranda, Goks/iura-roots, S'dlaparni, Pris'ni-parni, Brihati, Kantakdri, S'rigdlfrvinnd (a
ki#d of
Pris'ni-parni), Sa//adevd,
Ma/idsa/id (Misha.ipa.mi),
* Sonic commentators, according seeds of Madana-phala.
to
Dallarm,
take [rippali
to
mean
Chap. XLil.]
UTTARA-TANTRA.
26l
Kshudra-saha (Mudga-parni) and Ikshuraka-roots should be duly boiled with a Drona measure (sixty-four seers)
of water and should be boiled
part.
till
reduced to a quarter
This decoction should be used with the admix*. By this compound attacks of Kaphaja and Tri-doehaja types of Sula
ture of Yava-ksh&ra
Vataja, Pittaja,
would be thrown off just as the floating clouds are Yava, shattered and driven by the wind. Pippali, Chitraka, U/tra and Sarjikd-kshdta should be burnt together and reduced to ashes. Taken with tepid
water, this
compound proves
59-60.
curative
in
an attack of
de-
Kaphaja
ranged
Sula.
Symptoms
Kapha
in
Of Prs'va-3llla :The
the
regions of the
Pars'va
(sides)
arrests the course
of local
Vayu which
thus
irritated
causes an immediate distention of the
abdomen and a
is
rumbling
in the intestines.
pricking pain
if
felt
in
the affected part, which seems as
being pierced with
needles, and the patient complains of insomnia
nc
relish for
difficult.
food and his respiration
and has becomes painful

(side-
and
The
disease
is
named P&s'va-Sala
and is brought on by the action of the deranged Vayu and Kapha. 6r.
colic)
Treatment of Pa>s'va-S*ula : A
verised
pul-
compound
of Pushkara'roois, Hittgu, Sauvar-
chain, Vit-salt, Saindhava,
Tumburu and Pathyd should
be taken with a decoction of barley in a case of (colic) pain at the sides, at the region of the heart and at the
region of the bladder.
in
*
The medicated 'Ghrita mentioned
connection with abdominal dropsy due to the enThe

total
weight of the
drugs should be 8 seers, according to

it
Dallana.
According to others, however,

in
should be 12 seers.
The
preparation should be used

e,
any shape both internally and externally
g. a bath,
washings, etc.
i62

butter
fChap- XLtt.
larged spleen, or clarified
mixed with Hingu

Vija-
should be as well administered in such cases.
puraka-Sdra* duly cooked

of castor
oil
in
milk as well as draughts

or meat-soup
mixed with wine, Mastu, milk
(whichever of these
may
be conducive to the health of
the patient) should be taken and the diet should be taken
with milk or with the meat-soup of Jangala animals. 62.
Symptoms
of digestion
of Kukshi-ula :The
in
defire
ranged and aggravated bodily Vayu, affecting the
and incarcerated
the region
of the
Kukshi
in
(loins) interferes
with the digestion of the food

stiff"
previously
taken which remains
and undigested
consequence.
The
patient breathes heavily owing to
the accumulation of undigested (fecal) matter and tosses
about
in
agony of
pain, finding
no
relief in
any posture
is
whatever, whether sitting or lying.
The
disease
called
due to indigestion incidental to the action of the deranged bodily Vayu. 63.
is
Kukshi-Sula, and
Treatment
of
Kukshi-ûla: Vomiting
Acid
the
should be induced and fasting should be prescribed in

the case according to the strength of the patient.
and appetising drugs should

alleviation
of the Doshas
be employed (Vayu and Ama).
for
decoc-
tion
Vit,
of Ndgara, Dipyaka, Chavya, Hingu, Sauvarchala,
j and
the seeds of
Mdtulunga, S'ydmd,
Uruvuka,
Brihati and of Kantakdri, should be taken for the relief

of the pain (Sula).
Ativiskd,
Vachd, Sauvarchala, Hingu, Kushtha Abhayd and JCutajasceds taken together would
relieve
instantaneously
administered,
Sula.
Purgatives should
be
and Sneha-Vastis
and
Nirudha-Vastis
of the deranged
fruit
should be applied for the amelioration

* Vijapuraka-sdra,
I>urka,
according to
Dallana, meani the

is,
of Vija-
VijaUa-iiira (the pith of Vijaka)
however, a variant.
us,ed at
Hingu, Souvarchala and Vit-salt should bo
an aftei-throw.
Chap. XLII.]
UTTARA-TANTRA.
263
Doshas according to their nature and intensity. SnehaSveda and poultices should be applied and D/uinydmla (fermented paddy-boilings) should be employed as
washes.
64-66.
Symptoms and treatment of HrlchChhllla

by the
Pitta
:
The
deranged bodily
(chyle)
Vayu aggravated
and incarcerated in the region of the heart through the action of the deranged
vitiated
Rasa
and Kapha, produces Sula (pain)

rise to
in
the heart
and gives
which
is
difficulty
of respiration.
This disease
Hrich-chhula (cardiac colic) is ushered in through the action of the deranged Vayu and Rasa of the body. Remedial measures mentioned in connection
called
with the treatment of the diseases of the heart should be

as well
employed
in
the present malady.
67-68.
Symptoms of Vastf-S'ulaand MutraSlila

:
The
local
Vayu aggravated by
the suppres-
and urine is incarcerated in the region of the Vasti (bladder) and gives rise to a pain in the bladder, in the groins and about the umbilicus causing
sion of stool
further suppression
of the
stool,
urine
and
flatus.
The
due
disease
to
is
called Vasti-Sula (bladder colic)
and
is
the action
of the deranged
bodily Viyu.
cutting pain
experienced in the genital, the intestines
and the
loins as well as at the sides
and
in the
inguinal
regions and about the umbilicus and causing a complete
suppression of urine,
is
called Mutra-Sala.
The
disease
should
be likewise attributed
69-70.
to
the
action of the
deranged bodily Vayu
Symptoms
etc., affects
Of V!t-S*Ula : The
fire
bodily
Vayu deranged and aggravated by

the evacuation
the use of dry food,
or impairs the digestive of

feces
and obstructs
in
accumulated
the bowels
and gives
rise to
an excruciating pain
in the locality
by
264
stuffing or
THE SUSHRUTA SAMIUTA.

choking the channels of the
[Chap.
XLIL
intestines.
The
pain
left
is first
experienced in the region of the right or

(loin),
Kukshi
but
it
soon extends over the whole

therein.
abdomen with rumbling sounds

train,
Thirst becomes
fits
unquenchable and vertigo and epileptic
follow in
its
and the patient
finds
no
relief
even after the

bowels.
evacuation of the bladder and

disease
is
of the
This
called Vit-Sala
>
and
is
a very violent one. 71.
Treatment
An experienced physician should
instantly employ în such cases) the medicinal remedies which have the virtue of eliminating the deranged Doshas from the system. Fomentations, emetics as well
as Sneha-Vastis and Nirudha-Vastis should be applied, and the bowel-cleansing compounds dealt with before
should be administered.
in connection with
Medicinal measures mentioned
the treatment of Udavarta should

72.
be likewise employed with advantage.
Symptoms
cious eating in
of
Annaja
state
S*ula :A
of
digestive
vorafire,
an impaired
local
aggravate
the
taken remain
stiffed
Vayu which makes in the Koshtha. The
the
food
food thus
colic,
undigested in the Koshtha causes an intolerable
which brings on a distension of the abdomen, epileptic and an attack of Vilambika. fits, eructation, nausea
The
and
patient shivers, vomits, or passes stool, and even
loses consciousness. Anti-colic (pain-killing) pills,
powders
medicinal Ksharas are recommended in the case.

cases
All the medical remedies applicable in
of
Gulma
should likewise be applied in cases of Sula.

Thus .ends
73
74.
the forty-second chapter of lhe Uttara-Tantra in the Sus'ruta
Samhit which deals with the medical treatment of Gulma.
CHAPTER
Now we
disease
shall discourse
XLIII.

medical treatment of
the
with the (symptoms and)

of
the
heart
(H rid roga- Prat Ishede-
dha). i. Etiology
and Nomenclature :The
ranged Doshas of the body, aggravated by such causes as voluntary repression of any natural urging (of stool,
urine, etc.), external blow or hurt, use of extremely dry (Ruksha) and heat-making articles of fare in inordinate quantities or of such articles as are indigestable or are
incompatible in combination or are uncongenial to the system as well as taking food before digestion, con-
taminate the bodily Rasa
(lymph
as
chyle)
and
find
lodgement
in
in
the heart, producing the characteristic pain

is
the organ, which

heart).
known
Hridr.Oga (the disease

divided
into
five
of the
The
disease
may be
distinct types, of
Vataja, Pittaja,
is
which four are Dosha-origined, (w/>. Kaphaja, Sannipatika) and the fifth
due
to the presence of
first
worms
(Krimi).
The
difFerent
symptoms should be
treatment thereof.
described and then the medical
2-3.
Specific
a pain
if
symptoms
: in
the Vitaja type,
is felt
in the region of the heart
which seems as
being drawn and crushed, pierced and cracked, pricked and split. Thirst with a burning sensation, a gone-feeling and a sucking pain
piration,
in the
heart;; epileptic
fit,
pers-
fumy eructation and dryness of the mouth, are the symptoms which characterise the Pittaja type. A sense of heaviness in the chest, secretion of mucus
(from the nose
feeling
and the mouth), an aversion to food, of numness (in the body), dulness of appetite and
34
266

mouth
[Chap. XLIII.
a sweet taste in the

the
are the features which

4-6.
mark
Kaphaja type of the
heart-disease.
Krlmlja
(spitting),
Hrldroga : Nausea,
salivation
piercing and cutting pain (in the heart), dark
vision,
an aversion to food, a dull yellow hue of the eyes,

of the body
to
"(D.
as well as emaciation
R.
swelling) are
the indications which point
the
presence of
factor
worms
of the
(Krimija Hridroga)
disease
7.
1
as
the
exciting
Supervening symptoms :Vertigo

a sense of
exhaustion
and
of
attended with
feeling
physical lassitude and emaciation of the
body exhibit
in
all
themselves as the distressing

cases,
concomitants
the
while the supervening
symptoms
of
Kaphaja
Hridroga
worms
also.
exhibit themselves in case of Krimija

8.
Medical treatment of the Vataja type In a case of the Vrftaja type, the patient
'
should be
first
treated with a
Sneha and then made

with
salt
to
vomit (out the contents of his stomach) with a draught

of the decoction of Dasd-mula mixed
and a
to
Sneha.
a
After being purged he shouid be
made
take
Eld,
pulverised
compound
consisting
of Pippali,
Vachd, Hingu, Yava-kshdra, Saindhavb-saXt, Sauvarchala,

S'uthin and
Ajamodd through the medium

fermented
of the juice
of (acid)
fruits,
rice-boilings, decoction
of
Kulattha, curd, wine, Asava or with
any kind of Sneha.

his
The
S'dU
with
patient should be
rice,
made
to
have
meal of matured
with the soup of any
Jangala
a
clarified butter.
Oil duly cooked with the

as
meat cooked VayuVasti

in
subduing drugs should bs applied

adequate.quantity in the case.
9.
an
Treatment of Plttaja type : in a case of

Pittaja-Hridroga, vomiting should be induced with the
Chap. XLill.
UTTARA-TANTKA.
Yashti-madhu and
sugar.
267
decoction
(D. R.
of S'ri-pari-hmt,
Utpala
treacle)
duly
should
Clarified
butter
cooked with the drugs of the Madhura

efficacious
in
group, as well as the decoction

fever,
Pittaja-
be internally administered.
The food
of
the patient should be prescribed with the soup of the

flesh
of the principal
clarified
animals of the Jdngala group

butter,
cooked with
treated
and he should then be

oil
a Vasti, charged with honey and duly cooked with Yashti-madhu. 10.
with
Treatment of Kaphaja type : in

Kaphaja type
the pulverised
of
the
the
disease,
vomiting should be
induced with the decoction of Vachd or of

medicinal
Nimba and
patient
compound
prescribed for the
Vataja type,
should
be
adminstcred.
clarified
The
should also be advised to take

food.
butter with his
A decoction
of
Tri-phald or of the drugs of the
Phalddi (Madana-phaladi Sutra, Ch.

Mustdd'i (Su\.m, Ch.
XXXIX)
or the
XXXVIII)
mixed
group, should be pres-
cribed for internal use, or the
patient
should be purged
with clarified butter
with
powdered S'ydmd
(Vriddha-daraka) and Trivrit. A physician skilled in the art of applying Vasti should prescribe a Vasti charged with Vala-oil under the circumstances. 1 1.
Treatment of Krimija type: in

type
the of
(Krimija)
characterised
by
the
persence
worms, the patient should be first treated with a Sneha. A meat-diet with curd or (fried and) powdered sesamun should then be given to the patient fpr three days in
succession after
compound
*
of Ajdji
which he should be purged with the and sugar mixed with the saltpurgative
predominating*
preparation
(see
Sutra,
Some read "Su-pala-lair-jogaih" in place of 'Salava-nair-jogaih'. It would mean that the compound ahould be mixed with fried and powdered
sesamum.
268
THE StfSHRUTA SAMHlTX.
[dhap.
XLllt
XLIV.) and mixed with the scented drugs (mentioned in the Sutra-sthina, Ch. XLIV). - An adequate quantity of fermented-ricc boilings (Dhanyamla) with a profuse
quantity of Vidanga should then be internally administered,
whereby the
worms would be
dislodged from
the hearts (and expelled through the lower orfices of the body).
diet consisting
of cooked
barley grains
saturated with powdered Vidanga

to-the patient.
Thus ends
12.
should then be given
the forty-third chapter of the Uttara Tnntra in

treats of the
(
the Sus'ruta
Samhili which
symptoms and) treatment
of Hridroga.
CHAPTEE
Now we
etc.
XL1V.
shall discourse

i.
with the (symptoms and) medical treatment of Jaundice,
(Pa'ndu-roga Pratlshedha). Etiology and Nomenclature : The
deranged bodily Doshas of a person addicted to sexual

excesses* or to eating clay or salts or articles of keen
potency and of acid

in
or saline taste or to strong liquors

in
excessive quantities or to sleeping
the day, con-
taminate the blood and

colour of the skin.
is
produce a yellowish (Pandu)

is
This
known
as
Pandu-roga and
action
of the
divided into four distinct types

originated
Pitta,
according as they
are severally
through the
deranged Vata,
or
Kapha, the fourth being the
one incidental to their concerted action. The disease has got the name of Ptfada-roga from the fact that a
deep yellow (Pandu) colour
is
imparted to the skin of

2
the patient suffering therefrom.
Premonitory symptoms : Cracking

the skin, salivation
(spitting) a sense
of
in
of lassitude
the limbs, (desire for) eating clay, swelling of the

lids,
eye-
and indigestion arc the premonitory symptoms which usher in an attack

yellow colour of stool
urine,
and
of Pandu-roga.
The diseases known Pandu (popularly called Kamala),

*
as
Kamala-Palaki-
Kumbha-Kamala,
(physical exercise) in the
MiMhava
in his
Nidina reads "Vyayama"
"Vyaviya" "sexual enjoyment." Charaka, however, includes both "Vyavayi" and Vyayama" in the long list of the causes of Pandu-roga.
place of
variant reads that Pndu-roga
is
of
eight kinds.
In that case (he
four different varieties of
added
is
to
Pandu, separately mentioned below should be the four kinds mentioned here. Charaka says that Pandu-roga
of five different tvpes
: by
separating and adding the one

,
due
to the
eating of clay to the four kinds enumerated here.
2?0
THIS
SUSHRUTA SAMHITA.
[Chap.
XLlV.
Ligharaka and Alasa (otherwise known as Halimaka)

are
all
included within
Jaundice
(Pamdu-roga),
the
characteristic
symptoms
3-4.
of which are fully enumerated
in succession below.
Specific
the
Symptoms
of the skin
: A
black-
colour of
eyes and
marked by the prominent
appearance of black-coloured vein (on the surface), black colour of the stool and of the urine, blackness of the face
and of the
finger-nails
as
well
as
other
symptoms
are mani-
characteristic of the deranged
bodily
Vayu
fested in the VtCtaja type
of Pandu.
Yellowness of the
eyes and of the skin marked by the appearance of veins

(Sira) of the
same colour (on
its
surface), yellowness of the
stool
and of the urine, yellowness of the face and fingernails and other specific symptoms of the deranged Pitta, mark the Pittaja type of the disease. Whiteness of the eyes and of the skin, marked by the appearance of veins of the same colour (on its surface), whiteness of the stool and urine, whiteness of the face and of the finger-nails and other specific symptoms of the deranged Kapha
Kaphaja type of the disease. All symptoms are exhibited in a case of the Ssfaniptfta type. Now I shall describe the symptoms which mark the disease known as Kamala. 5 -8. The Pitta of a patient suffering from any disease
case of the
mark a
the preceding
by the use of any, and imparts a his to complexion yellow tint and produces (deep) physical weakness as well as all the specific symptoms
not radically cured gets deranged
acid,
or unwholesome
food
or
drink,
(of
Pandu-roga)
as
described
above.
it
This
disease
is
known
pain
accompanied by a general swelling (edema) of the body and a crushing
Kimali.
When
is
in
it
the joints,
is
called
when
developes in
its
course such
Kumbha-Ka'mali, which, symptoms as fever,
Chap, xliy.]
UTTARWANTRA.
in
271
physical
aching, pain
the limbs,
vertigo,
langour,
as
drowsiness
and emaciation comes to
be
known
Lflgharaka. This, in its turn, when marked by an excessive preponderance of the deranged Vayu and
Pitta
is
called
Alasa, otherwise
known
its
as
Halimaka,
9-1 2.
by those who are conversant with
nature.
Supervening'
Symptoms
: Aversion
fits,
to
food, thirst, vomiting, fever, headache, dulncss of appetite,
swelling about the neck, weakness, epileptic

tion
exhaus-
and a pain
in the region of
the heart arc included
their distressing concomitants.
13.
:
General Treatment
the
curable
Having
the
ascertained
nature
of an
attack
of Pandu-roga, the
patient
should
be treated with
clarified butter*.
He
should then be purged and vomited with

containing
compounds
powdered Haritaki mixed with a copious

Clarified butter
quantity of honey and clarified butter.
duly cooked
phala-Ghriita
with turmeric
as well as
also
known as Traithe one known as Tailvakaor the one
Ghrita
may
be used for the purpose.

clarified butter
Drugs
butter
possessed
in
of purgative
properties should also be taken

(or
clarified
combination with
duly cooked with purgative drugs should be
prescribed).
Half a Pala (four Tolas) of Nikwnbha duly cooked in an adequate quantity (eight Palas) of the urine of a
she-buffalo
should be
daily
used.
Similarly
half a
Kudava measure
*
of treacle
mixed
(D. R. duly cooked)
Some
say
that
the
Sneha used should be the Kalyanaka-Ghrita

clarified butter should
(Ch. LXII. ).
used.
Others says that simply matured
be
t Traiphala-Ghrita
may mean
either
the Ghrita duly cooked wilh

in.
Tri-phaU or the one known as Traiphala-Ghrita mentioned
X Similarly Tailvaka-Ghrita may mean the Ghrita of that name mentioned in Chap. V. Chiki{sit'a-slh.ana or Ihp one duly cooked with Tilvaka.
272
THE SUSHRUTA SAMUItA.

should
tChap. XLIV.
with pulverised Hantaki

patient.
be
taken
by
the
A decoction
may
be
of the drugs of the Aragvadhddi
group,
likewise
prescribed
for
internal
use.
Powdered (dead) iron mixed with pulverised Vyosha and Vidanga, or powdered Haridrd* and Tri-p)iald should be licked up with honey and clarified butter, f Any other
medicinal compound mentioned anywhere as remedial
to
4. Gulma should also be administered. The aggravated Doshas should be gradually eliminated from the system in as much as an quick and ex1
cessive
elimination
of the
Doshas under the circumthe patient.
stances might produce swelling in
Either
the expresed
juice
of Dhdtri or of sugar-cane, or a
Mantha
should be taken with honey by a patient and

diet.
1
he should take wholesome

Clarified
516.
butter duly cooked with the
Kalka and
decoction of the two kinds of Vrikati, Rajani, S'ukdkhyd

{S'ukti-s'imbi), Kdkddani, Kdkamdchi, Addri-vimbi and Kadamba-pushpi (Bhwmi-Kadambd) should be taken as a remedy for Ptfndu-roga. Pippalt'-pov/der dissolved in milk should also be taken according to the condition
of the
appetite.
The
use
of a decoction of
Yashti-
mad/iu,
or
of
powdered
likewise
Yashti-wadhu
efficacious.
text.
honey would
prove
in the
mixed with Powdered

take
* Here we have followed Dallana mean Daru-Haridra.
Some
we
Haridra to
+ According to Charaka's
recipe,
however,
into
find
that
the two
find
compounds here have been combined

definite
one and there we
the
mention
of
Dirvi
(Diru-baridri).
In our practice also
we
follow Chsraka in this case.
Mantha
is
prepared by mixing powdered grains of barley with
clari-
fied butter
and a copious quantity of water. Some commentators, however,
on the authority of other medical works, are of opinion that in cases of Pandu (jaundice) the word "Mantha" is technically used for the preparation of the
powdered grains of barley mixed with the expressed juice of
A'malaki and of sugar-cane and with honey.
Cha P .XLIV.j
UTTARA-TANTRA.
273
"
frequently taken as an electuary

cow's urine.
pearl,
lcnvs of Tri-phald and powdered (dead) Iron should be in combination with
compound composed
conch-shell,
of powdered coral,
antimony and
or
powdered
Girt-
mrittikd (ferrugnious earth)
should
be
similarly used
by the patient. 17-18. A compound consisting of half a seer of powdered goat's dung together with a Pala weight of each of the drugs known as FVV-salt, Haridrd and Saindhava-saXt, should be licked with honey by a patient living on
wholesome diet. A compound of Mandure (iron-rust), Agni (Chitraka), Vidanga, Pathyd, Tri-katu all taken in equal parts with Tdpya (Svarna-makshika) equal to their
combined weight should be duly soaked in cow's urine and formed into a lambative with the addition of honey, the same being prescribed for an immediate cure of a
serious type of Pandu-roga.
VibJiitaka,
19-20.
Mandura
of a
this
(iron-rust),
Ndgara and
Tila
should be pounded together and

the addition
made
into a paste with

Pills
profuse
quantity of treacle.
prepaicd
from
compound should be administered

Pills
through the medium of Takra whereby a violent attack

of jaundice
would be defeated.
of the
Kalaya
weight of each of Sanvarchala, Hingu and Kirdta-tikta

pasted together, should
be taken with tepid water.
As
an alternative,
dried
lambative
compound
of
Murvd,
Haridrd and Amalaka pounded together and alternately and soaked in cow's urine for a week, should be
21^-22.
given to be licked by the patient.
patient suffering from Pandu-roga
should observe
a proper regimen of diet and take two-Tola-weight of the compound of the powders of Vald and Chitraka
(with cow's urine or tepid
water).
The compound
35
of
Saind/iava salt and powdered S'igru-seeds taken in equal
2/4
T,1E
SUSHKUTA SAM1IITX.
tChnp.
XLIV.
parts should be
taken with tepid water, followed by a

rice
meal of cooked
with milk.
The
decoction of the
drugs of the Nyctgrodhddi group should be taken,

cold,
when
with honey and sugar followed by a proper regimen
Powders of the drugs included within the S'dlasdrddi group or of Amalaka should be formed into a
of diet.
lambative with the addition of honey and given to be

licked
by the
patient.
33-26.
of
The
pulverised
compound
Vidanga, Musta, Tri-
phald, Ajnmodd, Parushaka,
Vfos/ia
well as clarified butter, honey, sugar
and Chitraka as and treacle should
be
dftly
cooked
in
the decoction
till
of the drugs of the
S'dla-sdrddi group
reduced to
the consistency of a
lambative.
inside
It
should then be taken

vessel
covered
down and preserved prepared of Mokshaka (Mushproves

general
curative
in
kaka).
This lambative
a
cases
of
in
PAndu attended (with
edema
27.
as well as
cases of the violent types of
KamalA.
Treatment of
taken with treacle,
is
Ka'mala', etc iTtibhandi

Gavdkshi or S'unthi
butter
beneficial to a patient suffering
(Trivrit) taken with sugar as well as
from an attack
cooked with
as an after-throw
of
KAmala.
Clarified
duly
JCdkya-wood and mixed

is
with turmeric
also efficacious.
In the alternative
the patient should take Srotdnjana

cow's urine in
(rust of iron)
and
S'ildjatu with
case of Kumbb.a-Ka'mala'.
in
Manduia
be
kept immerged
cow's
urine should
likewise
taken with
Saind/iava-sa.\t
in
continually for a
fire
month. Mandura should be burnt
the
of Vibhitaka-
wood and
cooled with cow's urine.

in
The
process should
be repeated eight times

thus tempered
succession.
The
iron-rust
should
be
subsequently
it
reduced to
as a speedy
powders.
Licked with honey
would
act
cure in cases of
Kumbha-Kimala.
28-30.
Chap. XLIV.]
UTTARA-TAKf RA.
275
SiUttd/tavasaXi once
fire
made
red-hot
by heating
(in
the
of
Vibkitaka-viooA) should be cooled in cow's urine.
Iron-rust
(Mandura) should be successively heated

cow's urine
as directed
in fire
and cooled with

(Saindhava and
parts)
above, the
substances
process being repeated
many
times.
The two
(five
iron-rust) thus prepared, (taken in equal
and made into a paste with

ignition.
times of) cow's
urine, should
be cooked on an oven, care being taken to
guard against their

Udas'vit (a
When
dried, the
com-
pound should be reduced to powder and taken with

kind
of Takra).
The medicine
acts as a
good appetiser and proves curative in cases of Pandu. The patient using it should ^take his diet with Takra
after the assimilation of the medicine.
Clarified butter
duly
cooked
with
the
expressed juice
of Drdkshd,
in
Guduchi and
Atnalaki
31.
proves
curative
cases
of
Lagharaka.
Articles Of
Diet
\Arishtas
and
Asanas
prepared with treacle or with honey or with sugar or with cow's urine or with Kshdra (alkali) as well as the
essence of
meat of any Jangala animal saturated with and mixed with the expressed juice of Amalaka or of Kola should be prescribed and meals of
clarified butter
cooked barley grains or of S'Ali

tions prescribed in
rice
and the preparabe from an attack of
cases of swelling (Sopha) should
daily
taken by a patient suffering

32.
Pandu-roga.
Treatment of supervening Symptoms The supervening symptoms such as difficulty

>
of breathing, diarrhoea, aversion to food, cough, epileptic

fits,
thirst,
vomiting, colic pain, fever, swelling (ôpha),

in
burning sensation
the body, indigestion, hoarseness,
lassitude, etc. should
be remedied on
the principles laid

the nature
down
in
the Sastras w.ith due regard to
and
276
THE SUSilRUTA SAMHITX.
[Chap.
XL1V.
intensity of the deranged bodily Dosbas, severally lying

at their roots.
33.
Prognosis : If
a patient afflicted with
Pandu
have an cdematious swelling
of the extremities with

vice versa
an emaciation of the abdominal region and

or
if
he have a swelling of the scrotum or of the

anus or
if
genitals or about the
he be suffering from
fever or diarrhea or be lying in a sub-comatose state, he
should be given up and should not be attended

physician caring anything for his fame.
Thus ends
Pandu-roga,
by a
34.
the forty-fourth chapler of the Ultara-Tanlra in the Sus'ruta
Samhit which deals
with
iho
r
(symploms and) medical treatment of
CHAPTER XLV.
Now we
with the
shall discourse
on the Chapter which deals

of
symptoms and) medical treatment
Hemorrhr.
age
(Rakta- Pitta- Pratishedha).

in grief, fright
Cause and Pathology : Excessive

gence
exposure to the sun and
acid, saline
fire,
indul-
or anger, excessive physical labour,
constant use of pungent,

or,
and alkaline food,

in
of articles of fare which
arc
keen or heat-making
digestion
potency, or incompatible
in their
combination, or are followed by deficient gastric

arc the
factors
or intestinal
which tend to
aggravates
aggravate the Rasa (chyle), which,

the Pitta.
in its turn,
The aggravated
leads to
its
Pitta thus imperfectly assimi-
lated affects or invades in virtue
of
its
own
essence the
finds
blood
(lit,
imperfect digestion) which
an outlet through the upper or the lower channels of the
body or through the both. The deranged blood accumulated in the Amas'aya (stomach) finds out an upward
outlet, while
it
flows out through

its
the lower orifices
in
the event
of
continuing
in
a similar state in
the
Pakv&s'aya (in tcstincs). and it escapes through both the upward and downward orifices in the event of its being deranged and accumulated in both the Amas'aya and the
Pakvas'aya.
According
disease
to several authorities, the ejected
blood
liver.
in
2.
the
comes from the spleen and the
Prognosis
body
is
case
of
Rakta-pitta
in
which
the blood finds outlet through an upward channel of the
amenable, while palliation
is all
that
is
possible
in a case in
which
body.
it
flowes out
through a downward
orifice of the
case
marked by the emission of
ty%
THE
Stf
SHKUTA SAMHITA
[Chp.
XLV.
blood through both these outlets, upward and downward,

should be regarded as incurable.
3.
Premonitory Symptoms : A
lassitude in the limbs, desire
for cooling things,
sense
of
a sense
fetoi
as
if
fumes are
in
rising in the throat,
vomiting and
of blood
in
the breath are the
an attack of Rakta-pitta.
symtoms which The number of the
usher
cases
of Rakta-pitta as well as the aggravation of the different
Doshas involved in each case should be ascertained from the colour and nature of the ejected blood (as
described before in Chap. XlV-Sutra-sthana).
4-5.
Supervening
laboured breathing,
aberration
(lit
:
Symptoms
cough,
like
fever,
:Weakness,
yellowness
vomiting, mental
a state
intoxication),
of complexion, burning sensation in the body, epileptic

fits,
acidity of the stomach.restlessness, extreme
pain in
R.
the
region
of the heart, thirst, loss
of voice (D.
loose stool), heat in the head, fetid sion to food, indigestion
expectoration, aver-
(D. R. bending of the
and absence of sexual desire body after sexual act) are the
6.
usual complications in a case of Rakta-pitta.
Symptoms
of
Incurable Types:
In a case of Rakta-pitta the emitted matter resembling
the washings of meat or drug-decoction, or turbid water

or fat or pus, or being
liver-coloured
or dark-black or
blood-red in colour or looking like a ripey<z///#-fruit or

blackish blue
or variously
coloured like
a rain-bow or
having a
very fetid smell as well as the presence of the
above mentioned supervening symptoms

indications which
these are the

:
show that the case should be given up
as incurable
7.
General Principles of Treatment

It
is
improper to arrest the emission of blood immethe outset of the disease

if
diately at
the
patient
be a
Chap.
XLV.]
UTTAKA-TANTRA.
man,
in as
279
such a procedure Graham*,
sufficiently strong
much
as
may
bring on an
attack,
of *
P&ndu-roga,
Kushtha (cutaneous diseases), Gulma, or fever or enlargement of the spleen. An attack in which the blood makes a downward course should be arrested with
emetic medicines, while purgatives should be exhibited
in a case in
which the blood
finds
an upward course.
But weak patient, under the circumstances, should be both cases with soothing remedies. Fasting should be first enjoined in the case of an excessive emistreated
in
sion
"*
of blood in respect of a strong
patient with an
unimpaired digestion and an unemaciated frame.
Pcya prepared with a small quantity of

given to the patient after fasting
\.
rice
should be
Tarpana measures,
decoctions of digestive drugs, as well as a variety of
medicinal lambatives and Ghritas should be the proper

applications in the disease under discussion.
Purgation
Drdks/id,
should be induced with the

Yashti-tnadhu,
compound
of
Kds'marya and
sugar, while
vomiting
consisting
should be induced with an emetic

of Yashti-tnadhu
compound
Articles
mixed with honey. 8 rr. of Fare:The use of

g.
milk,
the
drugs of cold-producing potency (e
the drugs of the
Utpal&di group), essence of the meat of an animal of the
Jdngala group, soup of Satina
(cerials), S'dh'-ricc,
Shash-
tf&i-grains, leaves of Patola, S'elu,
Sunishanna,
Yuthikd
'',
Both Chakrapani and Vrinda read "raqT<3ir?'tft etc"

it
they say
that
may
bring on an attack of heart-disease also.
<*
Both Chakrapani' and Vrinda read "gjj nOT^TO)"
i.e.
in cases of
*
upward emission.
cases of excessive
vitiated
There
is
also
another variant
or in
"<3ft[
HSf^faw"
' ,e-
upward emission
cases
where a good deal of the
Doshas takes an upward course.

t
% Additional Text
Meat-essence (Rasa)
and soup (Yusha) seasoned
with clarified butter prepared from cow's milk.
2oO
THE SUSHkUTA SAMIUtX.

)
[Chnp.
XLV.
and Sindhuvdra (Nirgundi

of Vata and
as well as the tender sprouts
Atimuktd fTinduka) as pot-herbs and cooked
with clarified butter are recommended as diets.
Soup of
the meat of pigeons, S'amk/ia (conch) and tortoise as

well as the
gruels
mentioned before mixed with the
expressed juice of Dhdtri and

profuse quantity of clarified
the patient as diet.
pomegranate and with a

should be given to
butter
Milk should
be duly cooked
in
combination with the drugs of the Utpalddi group, and

the cream therefrom should
be likewise prescribed with
a copious quantity of honey and sugar.
Cold Pradehas,
are
said
honey,
sugar,
and
clarified
butter
1
to
be
beneficial in cases of Rakta-pitta.
3.
An
experienced physician should prescribe any one
of the four
lambativcs composed of the powders of

of
the flowers
Madhnka, S'obhdnjana, Koviddra

Rakta-pitta.
or
of
Priyangu, mixed with honey to be licked up by a patient

suffering
from
Similarly
lambatives of
Durbd, or the tender leaves of Vata, or of white Karnika

pasted
licked
together with the honey should be given to be
up by the
patient*.
Dates and other

14
friuts
of
the same therapeutic virtue, taken
with honey, would
prove efficacious
in
the disease.
15.
Medicinal compounds mentioned
in
connection with
the treatment of Raktatisara (blood-dysentery)

well
may be
as
employed with advantage

immersed
in
the present instance.

its
piece
of sugar-cane devoid of
in cold
skin
and crushed
in
should be kept
water contained
its lid
new earthen
be kept
dered
*
pitcher.
The
picther with
for a
off should
in
an open
in
place
night.
Its
contents
duly strained
the morning should be given with pow-
Utpala and
honey to a patient
suffering
from
coiu-
Dallana takes only Durba and Vata under one
rttffe.
Some
pnentators
would prescribe
all
these together under one recipe,
Chap.
XLV.]
UTTARA-TANTRA.
28
Rakta-pitta.
cold infusion
of
Jdmbu>
Amra and
alterna-
Arjuna should be taken with honey.

tive,
As an
fruit
the expressed juice

16
of
Udumbara
should be
taken (with honey).
A.
paste (Kaika)
of
The best six Yogas : a

be taken (with the same vehicles).
sisting of
in
Trapusi-roo\s in combination with honey and
washings
con-
of rice or two Tolas of the pasted Yashti-madhu should
compound
Chandana, Yashti-madhu, and Rodhra taken equal parts or Karanfa-seeds made into a paste with
In a similar
sugar and honey should be similarly used

should be taken.
way, the pith of Ingudi together with Yashti-madhu
As an alternative, salt (Saindhava) and KaranjastsAs* turned into a paste with curd-cream should be taken lukeworm for three days in succession
suffering
by a person
from an attack
of Rakta-pitta.
act as excellent
16.
The
six preceding medicinal
compounds
cures for the disease under discussion.
Pathyd should be employed as an errhine after the manner of Avapida-Nasya in the event of the blood
passing through the
nostrils.
In
case
of
excessive
haemorrhage (in the disease) the patient should drink blood in combination with honey, or eat a goat's raw
liver
with the
bile.
17.
Clarified
butter duly cooked
with
the admixture
juice
of an adequate quantity of the expressed
of (the
bark of) Palds'a trees should be taken, when cool, in combination with honey, or clarified butter prepared
by churning the milk duly cooked with>

juice
/the
expressed
of (the bark of) the Vanaspati-treea (Vata, etc.)
should be used with sugar.
Pala weight of each of
sugar should be kept water during the (whole) night This cold infusion would cure a case of Rakta-pitta. A
Drdkshd, Us'ira,
Paimaka and
immersed
in cold
36
Z%2
[Chap.
XLV.
also
draught of milk with an equal quantity of water
is
recommended
for
patient comforming to
18.
proper
regimen of diet and conduct.
The watery
native,
secretion of the
dung
of a horse or a bull
should be taken with honey and sugar.
In
the alter(of
powders of the seeds of Vdstuka or

of Laja
the
roots, of Tanduliyaka-'p\&n.ts should
be licked with honey.
lambative formed
(parched paddy) and
Anjana * mixed with honey, or powdered Tugd-kshiri
mixed with honey and sugar should be

suffering
licked.
patient
from an attack of Rakta-pitta should take a

of Drdkshd, Tikta-rohini, Yashti-madhu and
compound
sugar with cold water, or lick a compound of pulverised
Pathyd, Ahinsrd and Rajani with clarified butter,
ir.
The compound
(red
earth),
of (blue), Utpala Sourdshtra mrithikd
Priyattgu,
Lodhara,
polcns
of lotus
and
sugar mixed together and
taken with honey and a

Similarly a
decoction of Vdsaka would speedily stop the emission in

a virulant type of Rakta-pitta.
consisting of flowers of Khadira,
compound
Jambu, Arjuna, (red)

S'dlmali and S'igru,
Koviddra, S'irisha, Lodhra, Asana,
pounded together and mixed with honey should be 20 2r. licked by the patient in a case of Rakta-pitta.
The
alkaline water
prepared
with the ashes of
lndivara and taken with honey, powdered Karanja-seeds
taken with honey and
clarified butter
and the decoction

three
of Jambu, Arjuna and
Am/a these
compounds
prove curative in cases of Rakta-pitta. 22
paste
made
of
the roots and flowers of Mdtulunga should
also be taken
with the washings of

* Kal anjana
is
rice.
23.
a variant, in place of Laja and Anjana.
For Kalanjana
Dallana reads Souviranjana.

there
is
This should be the proper reading because

there will be only one
a word in the receipe which shows that
thing and not two.
Chap, XLV.]
UTTARA-TANTRA.
283
solution of milk
or water saturated with sugar

nostrils
in
should be applied into the

bleeding from the nose.
clarified butter
the event of
The
expressed juice of grapes,
prepared by churning milk or the express-
ed juice of sugar-cane should be taken cold (through

the nostrils) in combination with
sugar
*.
All
cooling
in the
measures and sweet-drugs should be employed

present disease
24
25.
Asthapana and Anuva'sna : The

plication
ap-
of an
Asthapana-Vasti
the
charged
with
milk
duly cooked with
drugs of the
Viddri-gandhddi
butter, sugar
group and mixed with honey, and Dr&kshd, proves extremely

under discussion.
ded with equal
clarified
efficacious in the disease
The
benefit.
application
of
an Anuvasnabe attendas
Vasti charged with clarified butter * would
The
drugs
known
Pri-
yangu, Lodhra, Souvirdnjana, Gairika, Utpala, Suvarnagairika, Kdliyaka,
conch-shell,
Chandana, sugar, As'va-
gand/id,
Ambuda,
Yashti-madhu, Mrindla and Sougan-
dhika, taken in equal parts, should be
pounded together
and mixed with copious quantities of milk, honey and

clarified butter.
This solution should be injected into the
rectum after the manner of Nirudha-Vasti,

should be sprinkled
The
patient
with
cold water
and given his diet
with milk after which clarified butter duly cooked with
Yashti-madhu should be injected into the rectum of

the patient after the
manner of Anuvasana-Vasti.
beneficial
in
This
of
measure
dysentery.
proves
extremely
cases
down-coursing Rakta-pitta and violent types of

In
blood*-
the case of an
excessive discharge of
S'rikantha Dalla, the commentator of Vrinda, would
mix
sugar wllh
the juice of sugar-cane only and not with the other two.
All these should
be applied into the
nostrils.
284
THE SUSHRtfTA SAMHITX
[Chap.
XLV.
blood, if the patient be strong enough, vomiting should be
induced after the cessation of the blood-discharge. 26-27.

Urethral-injections
composed of the aforesaid drugs
should be applied (after the
manner of Uttara-vasti)
Measures
in
the event of bleeding from the bladder.
laid
down
in
connection with the treatment of Rakta-pitta

In cases
should be resorted to in cases of bleeding-piles.

of menorrhagia as well as in cases of excessive
incidental to
(of the
bleeding
any
surgical operation,
the above measures
medical treatment) should be adopted by an exphysician.
perienced
cases
of the
The subsequent treatment of the should be determined by the nature and intensity
deranged bodily Doshas as well as of the blood
28-29.
involved therein,
Thus ends
Rakta-pilta.
the forty-fifth chapter
of the
Samhili which deals wiih (the symptoms and) the medical treatment of
CHAPTER
Now we
ing
fits
XLVI.
shall discourse
with (the symptoms and) the medical treatment of faint-
(Murchchha-Pratishedha).
:
r.
Oefi nation
The
deranged and
aggravated
Doshas of the body of a person who is emaciated or accustomed to the use of incompatible articles of food or -who has become very weak on account of a sudden suppression of his natural urgings or of any external
blows or
injur)-
give rise to fainting
bodily Vayu,
etc.
fits. The deranged choking up the sense-carrying nerves
of the body, produces that giddy state in a patient in which the world seems to vanish from the eyes of the
afflicted
person and the
perception of the
pleasure or
patient,
in
pain
is
suspended for the time being.

of the
insensible as a log of
The
consequence of this suspension

drops
is
sense-perception
this
It
down
wood and
types
disease
called
Marchchha' or
due to
the
Moha
or
(fainting).
admits of
being divided into six kinds

attack
is
according as an
action
of blood,
of
separately or to that
the deranged Doshas wine or poisOB, but a
all
predominance of the deranged Pitta may be detected in forms of the diseases due to any cause whatever. 2.
Premonitory Symptoms : Pain

pression of the heart, yawning,
lassitude,
loss
or op-
of cons-
ciousness
and of strength arc the
symptoms which
its
usher in an attack of the

to the nature of the
root.
3.
disease (Murchchha) according
deranged bodily Dosha lying at
The
natural elements, water (Ap) and earth (Kshiti)

(
abound with the attribute of Tamas

smell of blood also contains the
insensibility
attribute,
).
same
Tamas,
286
THE SUSHRUTA SAMH1TX.
tChap.
XLVL
It is therefore that
persons generally lose their consciousSeveral authorities hold that
ness at the smell of blood.
the loss of consciousness in these instances happens in

virtue of the natural properties of the
thing
itself,
viz.,
blood, wine
and poison which also possess these proand

it is
perties in a greater degree
therefore that an
use
of cither of these
substances
4-5.
suspends animation and
produces
Moha
(fainting).
Symptoms: A case of Murchchha

sciousness)
terised
(fit
of unconis
due to the
effects of (deranged)
blood
charac-
by
stiffened condition
of the limbs
and by the
breathing.
fixedness of the eyes (Drishti) and by deep
Delirious talks, mental aberration and the state of the
patient convulsively lying flat on the earth until the wine

is
perfectly assimilated into the system are the
symptoms
;
of a case of
shivering,
Murchchha due
to the effects of
wine
while
drowsiness, thirst and
numbness of the body)

of poisoning form
attended with the specific

the general
of poison.
symptoms
characterstics of the
6.
type due to the effect
General Treatment :Constant

of water over the
water, contact of cold
plasters
sprinkling
cold cold
body (water-spray) plunge-bath in gems and garlands of flowers,

(cold) breeze
and compresses,
and fanning, cold

in general
and perfumed drinks and cooling measures

are
efficacious
in
all
cases
of
the
desease
under
discussion. Cordials prepared with the expressed juice of
Ikshu, Piydla and
expressed juice of
Drdkshd and with sugar or with the Drdkshd and Madhuka ( Maula ) or those prepared by boiling Kds'marya and Kliatjura or
clarified
butter
duly cooked with the drugs of the
Jivaniya group with the d "ugs of the

the essence of Jangala
Madhura group,
or
expressed juice
meat in combination with the of pomegranate should be taken in a
Chap.
XLVI]
UTTARA-TANTRA.
287
case c Murchchha.
The
diet
should consist of cooked

7
red S'dli-rice or barley grains or Satiua-puhc*
8.
Specific Treatment : A compound

sisting of
con-
Ndg.i-kes'ara, Marietta,
(lotus
Us'ira, the
kernal of
(lotus-
Kola as well as Visa

stem) taken
in
stock)
and Mrindla
cold
water).
equal
parts
should
be taken with the

Pippali
decoction of Satina (D. R.
with
with honey or Pathyd with sugar should also be taken.
The mouth and

during a
fit
the
nostrils
should
be pressed close
and the breast-milk should be given to the

9.
patient to be drunk.
Strong medicinal orrhine should be administered and

strong emetics should be as well
repeated attacks of the
fit.
employed
in
cases
of
cooked
and prepared with the decoction of Haritaki or with

expressed juice of Anialaki should be prescribed.
decoction remedial to Piltaju-fevcr should be given
cold
state,
The
in
mixed with Drdks/id,

and
sugar, parched paddy,
Nilotpala
Padtna and well

10.
perfumed with any

lying in
good-smelling scent.
Sannyasa
comatous
state
The case
of a patient
and incapable of being roused up or the circumstances owing -o the aggravato under brought
ted
nature of the delusion (unconsciousness) due to an

bodily Dosha
extensive preponderance of the deranged

(involved therein) should be
looked upon
by an
This
intelliis
gent physicion as extremely hard to cure.

to be a case of Sannya'sa (Epilepsy
clay,
?).
said
Just as a
lump of
when thrown
into water, should be
instantaneously
taken up before
it is
being finally desolved therein, so a

of suspended
patient lying unconscious under an attack
* Chakrapani and Vrinda both-read

diet.
Mudga
also in
the
list
of the
288
animation
(

Sannyisa
)
[Chap.
XLVL
should be speedily restored to
consciousness with the help of medecinal remedies before

the process of final dissolution
( lit.
death
sets in his
body.
12.
Treatment : The
by pricking needles
patient should
be
tried
to
be roused up with the applic-ition of strong eye-salves

(Anjana), unguents and inhalation of
into his finger-nails or
sweet words and music in his
smoke (Dhuma) or by discoursing hearing or by shaking his

with the fruits of
present disease
limbs roughly or by rubbing
his skin
Atma-gupta creepers.
An
attack of the
not amenable to the above remedies but attended with,

salivation,
laboured breathing, retention
of stool
and
urine and distension of the
abdomen should be given up

of
as irremediable.
Strong emetics and purgatives should

consciousness
of fare.
etc.
be exhibited after the return

diet should
and
be
consist of light articles
S'ildjatu*
mixed with
employed
a month.
particular.
in
Tri-phald,
Chitraka, S'unthi,
should
combination with sugar and continued for

clarified
Matured
butter should
be used
in
Medicinal compounds remedial to any case
of fever originated by the

well prescribed in
any
;ase of
Dosha in the case may be as Murchchha and a case

;
due to the action of poisom should be remedied with

the
antitoxine
remedies
(mentioned
in
the
Kalpa
Sthana).
1314.
forty-sixth chapter of the Uttara-Tantra in
Thus ends the
the
Sus'ruta
Samhita which deals with the (symptoms and) treatment of Murchchha.
* According to Dallana S'ilajatu
should be
prepared
with the said
drags after the manner of BhaVana' saturation and then be applied with
sugar.
CHAPTER XL VII.
Now
shall discourse
treatment of alcoholism
on the (symptoms and) medical and its kindred maladies
(PsCnsCtyaya-Pratishedha). i. Properties and actions of

Wine
is
Wine :
in
its
heat-making
in
in its potency,
its
keen or sharp
acts
properties, subtile
essence,
as a
soaker or
is
cleanser of moisture and albuminous matter (Vis'ada),

dry,
and instantaneous
It
in
its
action (As'ukara), stimula-
ting or exhilarating in
sive (Vikas'i).
its effect
(Vyavayi) and
shivering
all
It
is
.diffu-
destroy cold and
by
its
virtue
of
its
heat-making potency.
enters
into
its
)
suspends
cognitive
process (lit.-intellectual motions) on account of

ness or sharpness,
keen-
every limb and

subtlety
(
member
),
of the body by reason of

destroys
Sukshmatva
Kapha
its
phlegm
(
and semen
and
in virtue of
its
Vais'adya,
enrages or aggravates the bodily
Vayu on
account of
in its
dryness
Rukshmtva
its
its
),
is
instantaneous
It is exhila-
action
by reason of
account
all
As'ukaritva.
rating
on
is
of
Vyavayitva
is
and
its
diffusive
(coursing swiftly
through the body) for

taste,
Vikas'itva.
Wine
sence
acid
in
its
light
and appetising, and
produces fresh relish for food.
Others assume the pre-
of all the
rice,
tastes except the saline

in
Wine taken
boiled
one in it. 3 4. combination with cooked meat and

other articles of food
(clarified butter,
etc.)
or any
a
profusely
saturated with
Sneha
in
the longevity, muscular strength and corpulency
adds to of a
person (using
it
moderate quantities) and to the exhifortitude,
larated state of
mind accompanied with beauty,

This
vigour and valour and these benefits one
may
37
derive
frpm the proper use of wine.
fiery liquid in
com-

290

fire
(
[Chap. XLVII.
bination with the aggravated bodily
Kaya-Agni
it
produces the symptoms of intoxication and unconciousness, etc. (

food, or
Mada
5..
in a foolish person taking

in
without
in
an empty stomach and
an inordinate
quantity.
Evil
creeps into
all
effects
Of
Drinking:Excessive
-drinking produces incidental
nescience which gradually and clouds the sense-perceptions, destroying

self
power of
control (control over the sense-organs)

(in
and giving publicity to the innermost thoughts
the
mind) of the intoxicated person.
6.
Three stages of Alcoholic Intoxication

the
:
There arc
three
stages
of intoxication
viz.,
first,
the second or intermidatc and the third or
last.
)
The
first
or preliminary stage
of
intoxication
is
marked by an exhilarated state of mind with increased

valour,
and
conviviality
as well
as
satisfaction
and
is
talkativeness, etc.
The second
or intermediate stage
indicated
by incoherent
speech,
exhilaration and
acts.
the
performance of proper and improper

or last stage the
In the third
man
7.
lies
all powers of action, of
down unconscious, bereft of memory and of judging the ethic

taking fatty food or in
in
effects of his acts.
A
whom
there
man who
is
is
in the habit of
Sleshma predominates, or
only a
little
whose
constitution,
of Pitta,
is
not so easily affected by
the action of wine, which, however, proves distressing in
a person of contrary nature. Wine,

food by a
distressing
if
taken daily without

rise to
man
in
an empty stomach, gives

in his
many
and dangerous diseases
organism and
8-9.
leads to the ultimate dissolution of his body.
Cases where wine Is prohibited .Wine should not be taken by a person under the
fluence of anger, grief, fright, thirst or hunger.
:
in-
The use
Chap. XLVII.j
UTTARA-TANTRA.
prohibited
2QI
after
of wine
is
immediately
a fatiguing
journey, physical exercise or an act of load-carrying, dr

after
the repressing of any physical urging, or after the

excessively acid food, (D. R. excessive water and
use of
food) to
or
the
full,
or before the proper digestion of food
of heat. a
by a weak person, or by one suffering from the effects In the above cases, wine undoubtedly proves
of
source
host of bodily derangements such
as
Panatyaya, Paramada, PanAjima and the violent Panavibhrama the characterstic symptoms of which I shall
presently describe.
10.
Specific
symptoms of
Pa'na'tyaya
The Va'taja type of Pa'na'tyaya is marked by such symptoms as numbness and aching pain in the limbs,
palpitation,
catching and pricking pain in the region
of
the
heart
and headache.
Perspiration,
delirium,
dryness of the mouth, burning sensation and fainting

fits
(loss
of consciousness)
>nd
yellowness of the face
and eyes arc the features which distinguish the Pittaja type (of Panatyaya). Vomiting, shivering and waterbrash are the indications which mark the
Kaphaja
type,
The symptoms
three deranged
of
all
the three proceeding types
being
of the
exhibited in the one due to the concerted action
bodily
DoshasTri-Doshaja
type
of
Panatyaya.
1 1
Symptoms
s.-nse
of Para- mad a : Heat and

the
of heaviness in the body, bad taste in of
mouth,
excessive accumulation
Sleshma
of stool
in
in
the body, an
urine,
thirst,
aversion to food, supression
and
headache
and a crushing pah:
the joints are the
symptoms which the learned physicion sets down to Para-mada (reactionary effects of the abuse of wine). ii Pa'ria'Jirna and Pa'na-Vibhrama : Distension of the abdomen (tympanites), acid or sour
igi
taste (in

the
[Chap. XLVII.
mouth), vomiting, deficient gastric diges-
tion are the
symptoms which
are exhibited in a Ptfatf-
jirna type (alcoholic indigestion).
Aggravation of the
deranged Pitta should be regarded by a physicion as

the exciting factor of the disease.
exhibits such
The malady which

pain
in
symptoms as
fever,
piercing
a
the heart
and limbs, vomiting,

a burning sensation
all sorts
sensation of the rising of

fits,
fumes into the throat, salivation, epileptic

in
headache,
the throat and an aversion to
of food and wine (in connection with an abuse

is
of wine)
called
Pana-Vibhrama.
:
13-14.
Prognosis
as protuded upper
A patient suffering from the effects

exhibiting
of excessive drinking and

lip,
such symptoms
or burning
excessive shivering
face,
sensation and
clamminess of the
black or blue
colour of the tongue, lips
or teeth and
yellowness or
as incurable-
blood-colour of the eyes should be givin
up
Hiccough,
fever,
vomiting, shivering, tremor, cramp of
the sides, cough and vertigo are the supervening symp-
toms ( Upadrava ) which are found Panatyaya (alcoholism). 15.
in
all
forms of
Treatment of
me
describe the
said
Va'taja type : Now

remedies, for
all
hear
medicinal
the above
maladies.
Wine
saturated
with the mixture of
pulverised Chukra, Maricha, Adraka, Dipya (Yamani),
Kushtha and Souvarchala should be given

of the Va'taja type of Panatyaya,
or one
for the relief
mixed with
Shadavas or
Pritkvikd, Dipyaka, Mahousfiadhi and Hingu, or with
Souvarchala should be taken for comfort.

cardials
made
of Amrdtaka, AmrorfruitSi
for relief. In
Dddima and
i.i.
Mdtulunga should be given

.
the alternative,
tor-
thfc
cooked
flesh of
an animal of Anupa group

16.
toise, etc.
should be seasoned with the expressed juice of
above
fruits
and be taken.
Chap. XLVII.]
UTTARA-TANTRA.
293
the
Treatment
tion of the
of
PIttaJa type: in
Fittaja-type of Panatyaya, wine mixed with the decoc-
drugs of the Madltura group and saturated and flavoured with the admixture of sugar and scented drugs should be taken, or wine profusely mixed with the
expressed juice of sugar-cane should be taken and fully
vomited out, a short while thereafter.
Meat-juice (Rasa)
acid, or
clarified
Ena and Mudga soup should

of Ldva,
butter.
17.
Tittira
unmixed with any
be taken with sugar and
Treatment of Kaphaja and TriDoshaja type, etc. :-In the Kaphaja type of
Panatyaya, the mucus should be eliminated by taking
mixed with the expressed juice or decoction of Vimibi and Vidula (Vetasa). Meat-juice
a potion of wine of
any
fatty
Jdngala
animal
and pungent
articles as also
mixed with bitter and the Mudga-soup made bitter

beneficial to the patient.
and pungent should be taken as
The
diet should consist
of preparations of barley, flesh
o{ Jdngala animals and also the Kapha-subduing articles,

as well as
those
calculated as
remedial to the present

of medicines and
the
type of Panityaya.
The above kinds

applied
in
diet should be combinedly
one due to
the
concerted
action of the three

in
(Tri-Doshaja type), while

treatment should
Doshas of the body the Dvi-Doshaja types, the
be according to the nature of the

18
predominant Doshas.
19.
Now
shall describe the medicinal
tend to relieve the delirious
stale of
compounds which mind and may be
of all forms of Panatyaya in powder of Ndga-pushpa, Mdgadhikd, Eld, Madhuka, Dhdnya, Ajdji and Marietta taken in equal parts mixed copiously with the expressed juice of Kapittha, water and Raruskaka should be duly taken
employed
general.
for the
relief
The
fine
294
in
all
[Chap. XLVli.
forms of Panatyaya after the mixture

piece of cloth.
is
strain-
ed through a
The body
of the patient
should be anointed with a paste of Haridrd,

Paripelava,
Padma,
clear
Karavira, Padmaka, drugs of the Sdt ivddi
group and acquatic flower pasted togather, and
and cold water should be sprinkled over the body of the patient in a case of Madatyaya. 2021.
PsfliakS
Chocha,
Ptfoak prepared with Tvak, Patra,

Eld,
Marietta,
Ndga-pushpa and flowers of
S'leshm&taka ground together into a paste and mixed
with treacle and Drdkshd, should be
filtered
and
per-
fumed and given to a person suffering from an attack of Panatyaya. The patient would find relief by the frequent
use of a Pa'naka (draughts) composed
of
Yashti-madhu,
Katurohini,
roots,
in
Drdkshd and Trapusha-roots, or of KdrpdsaNdga-vald and Suvarchald (Surjavarta) all taken

22
equal parts.
23.
Treatment of Para-mada : A
(
Pa'naka
cordial
made
Vit,
of
the fruits of
Dddima,
Pippali,
Kdshmarya, Ddru, Drdkshd pasted together and

in
disolvcd in water and
taken
combination with the

relief
expressed juice of Vijapuraka, instantly gives

discomforts due to
in
an abuse
of
wine
(Para-mada).
Panakas made of sugar, Drdkshd, Madhuka, Jiraka, Dhdnya, Krtshnd (Y'\p\>a.\i)3iud Trivrit, or of Souvarckala, the meat-soup (Rasa) of any fatty Jdugala animal and
Phaldmla should be taken.
Cold infusion of Bhdrgi

74
would be found beneficial in sprinkling.
25.
Treatment of
should
rgava, Brikskaka
Pa'na'Jirna
sVomiting
be induced with an Anjali measure of milk-
duly cooked with the admixture of Ikshvdku, Dhdtnd-
and two kinds of Udutnvarikd

case
after
in
which the patient should be advised to take wine

the evening in
a
of indigestion due to an abuse
Chap. XLVII.]
UTTARA-TANTRA.
Phaldmla
in
295
of winfi (Psfadijirna).
combination with
Tvak, Pippali, Ndga-pushpa,

Eld, or a
Vid, Hingu,
Maricha and
and S'unthi
compouud
consisting of Saindhava, vid, Tvak,

Pippali,
in
Chabya, Eld, Hingu,
Pippali-roots
pounded and desolved
The food of the

the
tance.
27.
patient
warm water should be taken. should be made palatable with

in
admixture of Khada-jusha *
the
present
ins-
Treatment of
Panaka composed
lunga,
etc.)
PsCna-vibhrama:A
Kapittha, Phala
( Matuand Dddhna sweetened with profuse quantity
of DrAkskd,
of sugar and honey, as well as
the one
made with
the
expressed juice of Kola and Amrdtaka sweetened in the
vibhrama.
same manner would prove curative in a case of PtfnaA compound consisting of Kharjura, Vetra, Karira, Parushaka, Drdkshd and 1'rivrit pounded
together and
disolved
in
cold
water should be taken,

in
sweetened with sugar, or the same should be taken
combination
with S'ri-parni.
In
the alternative, the
tender sprouts of Kshiri-trees,
Visa (Mrinala), Jiraka,
Ndgapushpa, Patra, Elavdlu, Sita-sdrivd, Padtnaka,

rdtaka, Bhavj'a,
F/z/ra-fruits,
all
Am-
Karamarda, Kapittha, Kola, Vrikshdmla, Jiraka, Dddhna, Yas/iti-mad/iu and Utpala,

as Maricha, Jiraka, Ndga-pushpa,
pounded together and mixed with the cold infusion

Tvak,
of such drugs
Patra, Vis'va, Chavikd and
Eld
filtered
through a piece
of thin linen duly perfumed with the addition of scented
drugs would be found curative in the seven types of distempers which have their origin in drinking excesses. 28.
Objects which are pleasing to the five sense-organs
of
man and
gratifying to the
mind and
heart, as well as
* Dallana in his coramentatory says that some read
"^"
in place of
"liif and others read
"q$? in
place of "qrJ:".

296
light
THE SUSITRUTA SAMHITA.

wine should be always prescribed
[Chap.
XLVH.
in
a case of
Panitayaya and the patient should be enlivened with the embrace of handsome and youthful damsels exceedingly
attached to the gratification of the senses with splendid
hips and thighs with their slender waists drooping under
the weight of the exuberance of their breasts.
29.
Potions
Ajdji,
prepared
with
powders of Ndga-pushpa,
in
Krishnd and Moricha taken

sugar,
in
equal parts mixed
with
Madhuka and
the
taken.
Tri-sugandhi
and
then
disolved
expressed juice of
should be
Kushmdnda fruits, The drugs known as Varshdbhu,

Tvak, tender sprouts of
Yashtydhva, Madhuka, Ldkshd,
Karvudara, Jiraka,
Drdkshd,
Krishnd
and
30
Kes'ara
should be given mixed with tepid milk.
31.
person
afflicted
etc.
with diseases due to the excess
of Sura, Asava,
should be treated with the same

etc.)
wines (Sura, Asava,
duly administered otherwise
he
will
be ruined,
in the
has incurred the king's

courting the royal
same manner as a person who displeasure, should be saved by
favour.
An
inveterate
is
drunkard
with the
giving up his habit of drinking
afflicted
symptom*
of Panatyaya
if
he suddenly revert to his

33.
former pernicious habit.
32
The Agneya and Vayaviya

produce a dryness
body, hence thirst
in
is
virtues of
wine tend to
the water carrying
channels of the
experienced by a drunkard person.
cold infusion of Patola, flowers
and bulbs oi'Utpala,

thirst),
and
Mudga-pami mixed with Mdgadhika' should be

or
clarifiied
taken under the circumstances (reactionary

oil,
butter,
Vasa
(lard)
and marrow (D. R.
milk) should be duly cooked with curd (four times), expressed juice of Bhringa-ra'ja (four times), and the decoction of Vilva
and
of the drugs
Yava (four times) with the Kalkas known as the Sarva-gandhd should be
Chap. XLVII.]
UTTARA-TANTRA.
397
applied
.as
(Seka) with the cold decoction*.

cold,
an Abhyanga. The body should be sprinkled Palatable foods and
pleasing
and scented
cordials
should
be
pres-
cribed
according to the nature and intensity
of the
deranged bodily Doshas underlying the disease,
34 -35,
The
heat generated
Pitta
by bodily
feeling
by drinking being aggravated and blood of an intoxicated person,

the
surface
of the
(DaTia)
escapes through
of intense
skin and causes a
burning
which should
be
remedied with measures and
therapeutic
agents pres36.
cribed in connection with the aggravation of Pitta.
Remedies for Dstha : Now

the cooling
shall describe
measures which
should be
employed
for
alleviating the burning sensation (DaTia) in the case of

rich patient.
The body of such a
patient under the
circumstances should be smeared

v
at
the
outest with
Chandana white sandal wood) pastes made cooler by the contact of cold beams of the moon, pearl-necklaces and
the
laid
water produced from
melted
ice.
He
should be
sparkling
down with dew drops
in a bed of full-blown lotus flowers
or of lotus-leaves
sprinkled
with spray
of translucent water,
and youthful damsels decked with necklace and bangles of lotus-stems cooler even than cold water, should be asked to touch him. He should
try to alleviate the burning feeling
by
soft,
strolling
banks of a tank in a garden

breeze bearing
in the
cool
on
lotus
its
Kalhdra
(red)
wings the soft and water-moss dancing
on the and sweet perfume of

in
the
adjoining tank.
Water cooled and charged with Ufira,
Vdlaka and (white) sandal paste should be sprinkled

over his body, or he should be
cleansed
*
made
to
sport in a
tank
filled
with freshly
collected
water era-
Decoction of the drugs of Madhura-gana and of the drugs of cold
virtues.
38
"3gS

full-blown
[Chap.
XLVII.
balmcd with
scents
(e.
ved and blue lotus-flowers
and
g,
sandal
pastes) after
being smeared with
sandal
paste and with the hairs of his
body standing
on
their roots
with the magnetic touch of beloved female

his
hands.
Here he should take
bath with young, gay
and beautiful damsels
skilful in
aquatic sports refreshing

cold hands, thighs
breasts and
him with the lotus-like touch of their and mouth and hard (t.e. full-grown)
t
with
their sweet words.
37- A.
He
should
lie
down, when
tired,
in a
cool
chamber
cooled with watery breeze, fitted
with fountains and
made dusky
floor of the
with the misty
jets
(vapours, of water.
The
chamber should be sprinkled
over with
scented water
with pastes of sandal wood,
and flowers and the walls thickly coated Teja-fatra and Vdlaka.
The chamber should be scented and decorated with Mdnst, Tamdla, Musta, Kumkuma, /Wwa-leaves, Jdtiflower,
Utpala (blue-lotus), Priyangu, Kes'ara (Bakula),
and Pmdarika (red-lotus), Punndga, Niga-Kes'ara, and Karavira and there in the room with garlands of
flowers
gently swinging in the

lie
sweet and lazy wind,

listen
the patient should

discourses about the
down and
to the sweet
Hemanta, the Vindhya, the Malaya
or -the
leaves of Kadali or of
Himalaya mountains as well as about cold water, any other evergreen tree or plant
and about the receptacles of full-blown blue or red lotus, as well as about topics of moon-rise, or any other subject which may be calculated to be agreeable to his
mind under the circumstances. Young and beautiful damsels with their full and thick-set breasts and thighs
anointed with sandal pastes, being clad in wet clothes
(adhering to and advantageously showing the splendid
contours of their limbs,
etc.,)
and with
their
necklaces
.
and
girdles
loosely
sliding
down
their
bosoms and
diap.
XLVH.]
UTTARA-TANtRA.
29$
slendef waists should He there with
embrace.
secret
These damsels should

coolness would
refresh
him in their firm him with their

and by means of
to over-
charms in that lonely chamber
their bodily
be able to alleviate the
burning sensation of aggravated Pitta due drinking.

3;.
These are the measures in general which should be
employed also
in
the
cases
of burning sensation
due
to the aggravated condition of blood,
Now
hear
me
Pitta and thirst. discourse on the measures which are to be
specifically
in the
employed in the case of a burning sensation body under different circumstances. 38 A.
Symptoms
of
Raktaja Drfha : The
blood coursing through the whole body when aggravated
by any cause whatsoever becomes heated and imparts a copper colour to the skin, complexion and the eyeballs of the patient.
It
produces a blcody smell in the

patient feels a burning
is
mouth and the body, and the

contracting sensation as
if
and
38.
he
surrounded by
should
fire.
Treatment
Fasting
be
prescribed
and then the diet should be regulated conformably to the nature and intensity of the deranged bodily Dosha involved therein. If such
at the outset in such a case
burning sensation
(in
the body) be
still
unrelieved, the
patient should be treated with a diet largely composed

of the soup of Jdngala flesh
and venesection
in
in
the ex-
tremeties should then be resorted to duly in
conformity
with the rules

Sthana).
(prescribed
Chapter VIII
Jsarira
Cases of burning sensation due to the aggrava-
tion of Pitta
would produce the symptoms of

for
39.
Pittaja
in
fever
and remedies
Pittaja
fever should
such
cases be resorted to.
Symptoms and treatment of Da'ha due to thirst : The watery part dried up in
is
jOO
THE SUSIIRUTA
SAMIIITX.
[Chap. XLVtl.
the event of an unslaked thirst, thus generating a heat

in
the organism.
lip,
This produces an extreme dryness
of the
(Djflia)
throat
and palate and a burning sensation

and inside the organism of the
body.
both
in the skin
patient followed
by the coming out of the tongue and
the trembling
of the whole
The medical
treat-
ment under such circumstances
consists in alleviating the
heat and adding to the watery component of the body.
A large draught of
cold water
or cooled milk saturated
with a copious quantity of sugar, or of the expressed

juice of sugar-cane or of
Mantha should be given

sensation in the
to
the
patient to his satiety under the circumstances.
40-41.
is
An
intense burning
body
caused
by the presence of accumulated blood in the abdomen (Koshtha), the symptoms and therapeutics of which are
those mentioned in the chapter
II
on Sadyo-vrana (Chap.
Chikitsita-Sthana)
fits,
burning sensation of the body
incidental to
the waste (Kshaya) of
any of
brings
its
fundathirst,
mental organic principles (Dhatus)

fainting
on
feebleness
of voice,
suspension of physical
and mental
in its train
weakness and lassitude which should be remedied with measures laid

Rakta-pitta.
faculties or functions,
down under
Emulsive and Vayu-subduing

42-43.
remedies are likewise applicable therein.
severe internal burning sensation in the
body may
any
kind.
also be produced
by
(the aggravation of)
blood due to
(the breach of the rules of) diet
and to
grief of
The symptoms in such cases are thirst, fainting fits and delirium. The remedy should consist in giving the
patient the wished-for objects,
and the diet under the

meatin
circumstances should largely consist of milk and

essence to be partaken of in
company with
friends
the manner described before.

|h'c
burning sensation in
to
body
incidental to
a hurt or
a blow on
any of
Chap. XLVII.]
UtTARA-TANTKA.
is
Jot
its
its
vulnerable or tender parts (Marma)
the
seventh of
All kinds
kind and should be deemed as incurable.
body with a coolness of its surface are incurable. Emetics and purgatives should be exhibited according to the Dosha involved even after
of burning sensation in the
the subsidence of the supervening

in wine.
symptoms
of excess
44-46.
half
its
Wine mixed with
quantity of water and
scented with Jiraka, Sauvarchala, Ardraka and S'unthi
becomes palatable and immediately

taken with meal and with
allays thirst.
Wine,
cooked
meat by a person
bad
off
besmeared with sandal paste and wearing wet clothes
and garlands of
after-effects
flowers, does not
produce any of
its
nor brings
on intoxication
which
in its
turn would throw the

their balance.
mind and mental
faculties
47-48.
Thus ends the
forty-seventh chapter of the Uttara-Tantra in the Sus'ruta
Samhita which deals with the (symptoms and)

alcoholism.
CHAPTER
Now we
shall discourse
XLVIIL.

thirst
i.
with the (symptoms and) medical treatment of
(Trlshna'-Pratlshedha Adhyaya).
He who
is
not satisfied even with the constant
drinking of water but craves for more and more water

should be regarded as afflicted with the disease
as thirst (morbid desire for water).
2.
known
EtlOlOflfy :The Pitta and Vayu of the body become extremely aggravated by such factors as (excessive) exercise, grief (or any violent mental agitation), fatigue, drinking, use of any extremely dry, acid,
hot
or
pungent
fares,
in
or
of
those which
cause a
parched condition
vital
the
organism, or
waste of any
the water-
organic principle (Dhatu) of the body, fasting or

affect
exposure to the sun, and combinedly

carrying channels
of the
body (diminish
the liquid
portion of the bodily lymph-chyle).
The
.
water-carrying
channels thus affected give

disease
is
rise' to
violent thirst.
3.
The
divided into seven types.
Classification :The
the action
of the deranged
first three are due to Doshas (Vayu, Pitta and
Kapha).
to
The
fourth and fifth!are respectively incidental

to the waste of
any
ulcer
and
organic principles.
The
sixth
is
any of its fundamental due to the presence of

(lit.
undigested fecal matter in the intestines

the seventh
is
mucus) and
hear
due to errors
in diet.
Now
4.
me
describe their specific
symptoms and
the therapeutic
agents to be employed in curing them.
Premonitory Symptoms : An
dryness of
extreme
palate,
and
a,
burning
sensation
in
the
Chip. XLV11I.]
UTTARA-TANTRA.
heat, vertigo,
loss
303
of
throat, lips
and mouth, external

delirium
consciousness, and
are the general premoni-
tory symtoms which usher in an attack of the disease. The specific symptoms are given below. 5.
Symptoms
head (D. R.
are the
of VsCtaja,
Pittaja
and
Kaphaja Thirst :Dryness
of the
mouth with a
and the
tingling sensation in the regions of the temples,
throat), obstruction
of the (water-carrying)
channels of the body and a bad taste in the mouth,
symptoms which
specifically
mark a
case of the
Vtftaja type in which the drinking of cold

to a distinct aggravation
water leads
of the disease
fits),
(thirst).
Loss
of consciousness
food, dryness
(epileptic
delirium, an aversion to
of the
mouth, yellowness
in the
of the
eyes,
extreme burning sensation

coldness, a bitter taste in
whole body, desire for mouth and a fumid sensathe
tion
(in
the throat) are the features which specifically
mark
the Pittaja
type of the disease.
The vapours
and
produced by the
fire
of digestion being enveloped
obstructed in their course
by the layer of accumulated Kapha, the heat (pent up in the body tends to dry up
its
the moisture of
water-carrying channels and) produces
a kind of thirst which is characterised by somnolence,
a sense of heaviness
in the limbs, a
sweet taste in the

vomiting, an
skin are the
mouth, extreme emaciation,
cold-fever,
in
aversion to food and suppuration
the
symptoms of Kaphaja
drinking water.
type.
And
where such symptoms

for
are present, the patient has
no excessive desire
8.
Kshataja and Kshayaja Thirsts :

case of thirst which
pain in
is
engendered in consequence of or discharge of blood from, any cut in the body

is
the fourth type and

in
is
known
as
Kshataja
thirst.
The
un-
days of the patient
such a case
pass with great
304
easiness even

if
[Chap. XLVIII,
he drinks water.
In the type due to the
waste of the fundamental organic fluid
(Rasa) which
is
known
as
Kshayaja
still
thirstj
the patient constantly drinks

in
water in large quantity both

night but
finds
the day and

is
in the
no
relief.
This type
attributed
by
several
authorities to
the concerted
all
action of the
three deranged Doshas and
the specifice
symptoms
due to the waste of the
vital
organic principle (Rasa)
described before are expected there.
10.
Amaja and Annaja Thirst:The symptoms of

all
the three (aggravated) Doshas in addition to
pain in the heart, spitting and a sense of lassitude in the

limbs are present in the type which
is is
due to indigestion
produced by using
fare, as well
(Amaja).
The
case of thirst which
extremely fatty and saline articles of

those which are hard to digest
is
1
as
due to
errors in diet
(and
is
known
as
Annaja
thirst).
1 12.
exthirst
Prognosis
who
suffers
patient
in
who has become

lies
tremely weak and deaf
consequence of
and
from a mental stupour and
with his
tongue protruded and hung
down should not be taken

1 3.
charge of (by a physician) for treatment.

of powdered
General Treatment : Vomiting

induced with a solution
case of thirst
in which the stomach
should be
in
Pippali of the
patient
A plaster composed fully loaded (with water). Dddima, Amrdtaka and Mdtulunga is also beneficial. Drugs which are cooling in their virtue and potency
becomes
of
should be applied in the three cases of thirst (due to the

three Doshas).
gargle composed
of a
solution of
powdered Amalaka with any acid drug (Matulunga, etc.) should be retained in the mouth for removing the bad taste in the mouth under the circumstances. Water made hot by immersing bits of heated gold, silver, etc
Chap. XLVHI.]
UTTARA-T ANTRA.
stone
or baked
305
clay in
it
as well as pieces of heated
and taken in a tepid state, or cold water charged with

sugar and honey,
thirst.
is
possessed of the efficacy of allaying
14
16.
Specific
Treatment : A
patient
suffering
from Vritaja thirst would find relief by taking lukewarm and in a little quantity at a time the water boiled with
the drugs of any of * the five Pancha-mula groups
or
with the drugs

gana).
of the
first
group
(Vidari-gandhadiPitta-subduing
A
f
decoction of the drugs of the
groups
addition
subsequently
of
cooled
and
taken
with the
honey and sugar, or milk duly boiled with the admixture of the drugs of the Jivaniya group (Kakolyadi
Gana) would
boiled
allay
case
Water duly
case of
with
Vilva,
%
of Pittaja Adhaki, the
thirst.
drugs
of the Kantaka-Pancha-mula
and
Darbha
allays a
Kaphaja
thirst.
Vomiting induced with the help

iVwfa-leaves
of a draught of the infusion of tender
taken lukewarm would likewise prove curative in such

a case.
17
19.
The
Pitta-subduing remedies and measures should, in

all
the alternative, be applied in
types of thirst which

juice or a
cannot otherwise be allayed.

decoction
of
ripe
The expressed
Udumvara
should be taken with
minor Paucha-mula,
The five Pancha-mula groups are (1) The major pancha-mula, (2) The (3) The Valli Pancha-mula, (4) The Kantaka-Panchamula, (5) The Trina-Pancha-mula. See Chap. XXXVIII, Sutra sthana. t The Pitta-sulxluing groups are Utpalacli, 4rivadi and Kakolyadi
*
groups.
In
place of
"qr^rq*^,
etc.
',
some read
"^Kq^fq"
as
group known "TOftl," vu Pippali, Pippali-mula, Chavya, Chitraka and Nagara. The commentator Kartika Kundu supports this: Dallana. For Kantaka
etc., i.e.
Kantaka (Gokshura) and the drugs included

-
in the
Pancha-mula, see Chap.
XXXVIJJ Sutra-Sthana.
39
306
[Chap. XLVIII.
sugar under the circumstances.

should
likewise drink
thirst-afflicted patient
the water duly boiled with the
drugs of the Sdrivddi group sufficiently cooled down

for the purpose.
2021.
Water duly boiled with Kas'eru, S'ringdtaka, Padtna, Mocha (plantain-flower) and Vis'a is efficacious in allaying thirst incidental to hurt (Kshataja). Water containing Nilotpala, Us'ira and red Chandana should be kept
an open space during the night and a physician should give this well-scented water mixed with sugar and honey
in
and with a large quantity of Drdkshd

afflicted
to
the thirstfor
patients on
the
following
morning
their
benefit.
Cold infusions of the drugs of any of the
Trina-
pancha-mula, Utpalddi and

i.e.,
Madhura
as that
(D. R. the
first
group
of the
in
Vidarigandhadi) groups mixed with the drugs of the

of the
Sdrivddi group as well
drugs
Madhuka-pushpddi groups should be prepared

preceding manner and
cordials (Panaka)
prescribed.
the
of
The
six kinds
separately prepared (in the preceding

of)
manner) with the (four kinds

Kapitana are also beneficial
gether (and
dissolved
beneficial.
is
Rdjddana, Kshiri or
such cases. Fruits of
in
Tundikeri (wild Kirpasa) and of Kdrpdsa pasted toin
water) and taken internally

case of thirst incidental to
would prove
any
ulcer (Kshataja)
allayed with the stoppage or
removal of the pain or by taking meat-soup or the

blood (of deer, goat,
etc.).
22
26.
case of thirst due to the waste (Kshiyaja) of
any
fundamental
organic
fluid
(Rasa)
is
removed
by
taking draughts of clarified butter churned from milk *
In places
(
of
>'^\x&t"
"ntW
and
"n*fc#' some
Masha
read
"ÎW?" m ilk
tpqgptf (honey
mixed with watei),
"^nf^"
(soup of
pulse) and
mixed with water)
respectively.

Chap. XLVIII.
]
UTfARA-TANTR.A.
307
as
well'
as those of meat-soup
and infusion of Yashtito
madhu.
Thirst which
is
incidental
the
presence of
mucus and undigested fecal matter in the intestines (Amaja) should be remedied with the decoction of Vilva, Vachd and the drugs of the Dipaniya (Pippalyadi)
group or with the decoction of the drugs of the Dipaniya group mixed with Amrdtaka, Bhalldtaka and Vald.
The type which has

indigestible fares
all
its
origin in the
use
of heavy and as well as
or due to
errors in
diet
other types of thirst with the

is
exception of the one
which
incidental
to
the
waste of any fundamental

cured
organic principle should be

ing.
by inducing vomit-
27
28.
Solution
of
common
in
treacle
or
Mautha
which
or
is
meat-
soup
is
efficacious
allaying
thirst
due to
physical fatigue.
Warm
a thirst
meal.
would alleviate
the participated
Yavdgus or cold Manthas * caused by the obstruction of
A man
The
should drink
warm
drunkis
water
in cases of thirst
due to an excessive taking of any

thirst of a habitual effects
fatty substance (Sncha).
ard which
allayed
heat,
is
due to the reactionary

of half-diluted
of wine
by draughts
wine.
Thirst due to
may
be allayed with
or
draughts of cold water
surcharged with sugar

suger-cane.
with the expressed juice of
29
$3.

induced
in
should be
these cases with the decoction of such drugs
as are remedial to the deranged bodily Doshas involved

in
each case
prescribed in
in
and the digestive (Pacnana) remedies as cases of fever should also be prescribed
these
cases.
Use
of cooling plasters and of cold
Warm
Yavagu should be
prescribed
ponderates and cold
Mantha
in caaea
in cases where Vayu where Pitta preponderates.
pre.
30$
f HE SUSHRUTA SAMHITX.
in cold
[Chap. XLVIit.
baths and spray, residence

of emetics and
clarified butter
chambers, exhibition
purgatives,
use of milk, meat-essence,
and sweet and cooling Iambatives would

all
be likewise prescribed in
cases of thirst.
34
35.
Thus ends the
forty-eighth chapter of the Uttara-Tantra in the Sus'ruta
Samhit which deals with the (symptoms and) treatment of thirst.
CHAPTER
Now we
shall discourse
XLIX.
with the (symptoms and) medical treatment of vomiting,
(Chhardi-Pratishcdha).
Causes and Nomenclature : The

ly
bodi-
Doshas are deranged and aggravated per force by the use of extremely liquid, emollient, unpalatable or
oversalted
or in
to the
food
or
of one taken at an
improper time
is
an inordinate quantity or which

physical
incongenial
as well
as
temperament
of
of
ts
user,
by over-fatiguing physical
tion,
indigestion, presence
exercise,
fear,
(in
mental agitathe intestines),
worms
or quick eating or owing to

ting or loathsome
causes.
pregnancy or any disgusthe Doshas

after
Thus deranged,
force
rush
of
it
up to the mouth and
covering the whole
come out with

in
great
and with an aching
pain
the limbs.
2.
This
is.
therefore, called
Vomiting
(Chhardi).
The
in
in
vital
Vayu known
as the
Udana-Vayu coming
combination with the one known as the Vyana-Vayu

a
man
addicted to incompatible food and drink leads
to the
up
to
derangement of the bodily Doshas and rushes the upper part of his body (which causes vomit3-
ing).
Premonitory Symptoms :Nausea,

pression of eructations, thin
sup-
and
saline
water-brash and
an aversion to food and drink are the premonitory symp-
toms of vomiting.
4.
Specific
frothy
Symptoms
: Scanty
ejections of
matter of strong astringent taste accompanied

sidfes
with a loud sound and cramps at the back and the
3 to
THE SUSIIKUTA SAMHITA
[Chap.
XLtX.
produce a sense of exhaustion or fatigue and increase

after
the
digestion
to
of
meal and
this
should be
ascribed
the
action
of the deranged bodily Vrfyu.
Vomiting of yellow, greenish or blood-streaked matter with an excessively acid, pungent or bitter taste in the
mouth and attended with such complications

dryness of mouth, fainting
fits
as fever,
and burning and sucking

Excessively cold,
attended
(Chosha) sensations in the body, should be ascribed to

white,
sweet,
thick
Pitta.
and mucous vomiting

the
all
with horripilation, an aversion to food, heaviness of the

limbs and
lassitude should be ascribed to
Kaphaja
the three
the
*
type of vomiting.
The
all
specific features of
in
preceding types are

concerted action of
present
the type due to

5
the three Doshas.
8.
Traumatic Cases :The

ing due
to
five cases of
vomitto
any disgusting or loathsome cause or

indigestion,
pregnancy,
presence
of
of
worms
(in
the
bowels) or the taking
uncongenial food and drink,
should be duly classified according to the Dosha aggravated in each case. types of vomiting.
first
The stomach
Violent
is
irritated
in
all
Fasting should, therefore, be the
remedy
in these cases.
cramps and nausea

arc the
as well as
the
symptoms of Krimija-llridruga
of vomiting
in the bowels.
skilful
special characteristics of a case
due to the
not
presence of
worms
10.
Prognosis : A
physician
shall
take in hand the medical treatment of a patient afflicted with vomiting, where the patient is emaciated and
is.
distressed
with the supervening symptoms* and in

ejected
which
the
matter"
is
mixed with
pus and
The supervening symptoms

thirst,
ate
: Cough,
asthma,
fever,
hic-
cough,
mental dejection, heart-disease and Tamaka-S'vasa,
Chap. XIJX.J
UTTARA-TANTRA.
311
blood, and resembles the variegated colour of a peacock's
plume and where vomiting

ing
(or
is
almost constant.
II.
General Treatment : In
a case of
vomit-
marked by an excessive preponderance of any Dosha by the presence of all the three Doshas), emetics
be administered with a due regard
intensity
or purgatives should
to
the nature and

In
cases
of the
Dosha
or Doshas action
of
involved.
due to the
concerted
any two of the deranged bodily Doshas the medical

treatment should be determined
relative
according
to
their
order of preponderance.
consist
is
Diet
articles
in
these cases
should
patient
of dry and
to.
light
and what the

should
accustomed
Febrifuge decoctions
be administered accord ing to the nature and intensity of
<he deranged bodily Doshas involved

of clarified of
in
each case.
1 2.
Treatment of Vataja Type :Draught

butter
churned from milk, * or the soup

taken with
(
Mudga and Amalaka
clarified butter
and
Saindhava-*s\\., or gruels
Yavdgii
prepared with the
drugs of Pancha-mula and
taken with honey, would
prove curative
use of the
(e.g.
in
the Vtftaja type of vomiting.
The
essence of any bird of the
Vishkira group
quantity of salt
efficacious.
chicken, etc.)
taken with a
little
and
juice of acid-fruits
would likewise prove
"Lukewarm oily purgtives recommended in such cases
mixed with
13.
salt
are also
Pittaja
Pitta-subduing
Type :Cold
virtue
drinks and decoctions of

relieve
would
vomiting
due to
the derangement of Pitta.
Emetics or purgatives com-
posed of the drugs of the Madkura-drugs and mixed
"?ftT?t?"
' las
been explained by
butter.
some commentators as milk

teads
mixed with
clarified
Chakradatta
""^t^j"
milk and
water in place of ''^jkvtf",
312
THE SUSHRUTA SAMH1TA.
fChap.
*UX.
with the expressed juice of Drdkskd majj likewise be
employed
in
the present type.
In violent' attacks of
butter
vomiting the
medicated
clarified
known
as
Tailvaka-ghrita should also be prescribed.
i\.
Treatment of Kaphaja Type : A

coction
of the
de-
drugs of the Aragvadhdd\-%xowp or of
Das'a-mula should
be given with honey in a case of
vomiting due to the aggravation of Kapha.

infusion
cold
would
(Hima-Kashaya) of Guduchi mixed with honey prove an excellent remedy in all the three
15
preceding types of vomiting.
16.
)
Vomiting due
or loathsome
things,
to
the use or sight of
any disgusting
thing
should be treated with .agreeable

peculiar
to
while that
pregnancy should be
due to the
administrato
relieved
by giving
to the enceinte the things she longs for.
Traumatic Types : Vomiting

relieved with fasting, vomiting or with
use of any unaccustomed or incongenial food should be

the
tion of habituated
or
congenial food.
in
Vomiting due
the presence of
worms
the bowels (Krimija) should
be treated with remedies applicable in a case of Krimija

Hrid-roga (heart-disease of parasitic origin).
The measures
and remedies prescribed before should be employed with

a due regard to the nature and intensity of the deranged
bodily
Dosha
or Doshas involved in each case.

is
17.

by frequently
with the
licking a lambative
relieved
of Pippali, honey and the expressed juice of Kapittha-ixwX.. MadJmrasd *
made
washings of
for
rice
and with honey may be
likewise taken
Tarpana (soothing) measure with the admixture of honey would be benethe purpose.
VMadhurasd" may mean

pi (4) Yashti-madhu.
(I)
Drak'sM
(2)
Gambhiri
fruit (3)
Murv
The
practice is to prescribe
PnSksM.
Câp. XLIX.]
UTTARA-TANTRA.
313
ficial
iti
all
the three cases (due to the aggravation of the
Doshas).*
seeds and
potion composed of powdered Attna-guptd-
Yashti-madhu mixed with a copious quantity

with honey as well
as
gruels
of
rice-washing and
prepared^ with the admixture of Karanja-\ea.ves should
be administered.
salt
also
Kustumburu pasted and mixed with and acid would also be bcnificial. Kapittha should be taken with Tri-k tu, and rice-washing. 18 A.
The excreta
of
flies
should be licked with sugar,
honey and sandal in hot milk and

given
to
paste.
this
A
milk,
to
lizard should
be immersed
should
when
drink.
cooled,
be
the
patient
Powdered
fried
paddy mixed with honey and

honey, sugar
clarified butter
should
be given to drink or pulverised Pippali
mixed with
be licked.
and
clarified
butter
should
Sandal-paste * with the expressed juice of Amalakaôx the decoction of the leaves of
Mudga f
marrow
as well as a of Kola
(viz.,
lambative
composed
of
the
and
Eld,
Amalaka
spiced with the
Tri-sugandhi drugs
Patra and Tvak) powdered together should be prescribed.

Gruels of fried S'dli paddy mixed with honey should
also
be prescribed.
agreeable both to
is
The use of perfumes which are the mind and to the organ of smell,
18-B.
also recomended.
Diet
palatable
The
cordials
meat of any Jangala animal and and victuals of various plates should
all cases.
be likewise taken with care in

Thus ends the
18.
forty-ninth chapter of the
Uttara-Tantra in the Sus'tuta
Samhita which deals with the (symptoms and) treatment of Vomiting.

*
I
The
practice is to take white Sandal in this case.
Viigbhata'prescribes the decoclion alone as a separate remedy.
40
CHAPTER
Now we
cough
shall discourse
L.
on
the chapter which deals

hic-
i.
(HIccst-Pratishedha).
!
Causes
Hiccough,
result of using those articles
cough and asthma are the of fare which are heavy, dry,
which are followed by an
or secreting (Abhishyandi) or
acid reaction or which remain long in an undigested state

(in the
stomach} as well as of cold drinks, residence
in
cold places, exposure to cold or dust or
smoke or
physical
fire
or
wind, over-fatiguing physical exercises,

tion,
exer-
load-carrying,
toils
of journey,
voluntary repres-
sion of (physical urgings), fasting (Apatarpana),

lation
accumu-
of
Ama-dosha (mucus
in
the intestines), blow

cxccssc,
or hurt, emaciation
(weakness) due to sexual
concomitant distress or agony of any existing or continuing

physical
ailment,
irregular diet,
eating before
applica-
the digestion of a previous meal or of a

tion of
:
wrong
Sams'amana remedies.
of the
2.
Derivation :The Vayu

mouth with
a were, the spleen, the liver and
(wind)
constantly
belches out
it
report shaking, as
intestines.
the
The
physicians have bestowed the
name Hkctf on
the disease
the vital
owing to
spark
in
fact ,of
its
speedily
extinguishing
man (from Sanskrit root Ilins to kill). 3. Classification : Hicca is divided into
which
arc
styled
all
five
kinds
Annaja,
Yamala,
Kshudra
unison
Gambhira and Mahati,
of which
are the effects of

acting in
the derangement of the bodily
Vayu
with the deranged Kapha.
4.
Premonitory Symptoms : An
astrigent
Chap, t,J
UTTARA-TANTRA.
the moulh, an aversion to
all sorts
jlj
of pursuits,
taste
in
heaviness about the throat and
cardiac region and a
rumbling sound
in the
abdomen
(Jathara) arc
the preof
hic-
monitory
cough.
5.
symptoms which
usher in
fit
Symptoms
: The
bodily
Vayu
being suddenly
deranged by taking too much food and drink, is pushed upward and belched out in gusts which are known as, Annaja' Hicca. The hiccough which occurs in double
strokes and at long intervals shaking the head and
the
rises
neck
is
called
Yamaltf.
The
hic-cough
which
with a mild force and at long intervals from the root*

of the clavicles (Jatru)
is
called Kshudrika'.
The
violent
hiccough which
rises
from the region of the umbilicus

free
accompanied by a deep sound and interfering with

respiration,
causing dryness of the
lips,
throat,
tongue
.
and of the mouth and producing pain at the sides and

complicated with
called
many
other distressing
symptoms,
is
Gambhira'
The hiccough which produces

as
it
feeling of crushing pain
were, at the vulnerable

in full,
parts
(Marmans) and stretches out the body

force
shak-
ing
all
the limbs and which occurs frequently and with
considerable
accompanied by a
is
report,
and
produces a severe thirst
called Maha-Hicca'.
id.
Prognosis
is
hiccough-patient
fit,
whose body
stretched out in
full
during a
with his eyes turned
upward and fixed

from weakness,
in
a gaze as well as the one suffering
frequent sneezing (D. R. cough) or an aversion to food as well as those suffering from the
last
two cases of Hicca
vis.,
Gambhira and Mahati

11
should be given up as incurable.
By
the
word "Mula"
('.
tool) of the Jatru (clavicles)
GayaiWa
understands the regions of the heart, Kloma, throat, etc.Dallana.
316
THE SUSHRUTA
:
SAMiilTX.
[Chap.
Treatment
fusion
Practice of Pranayama (control of

frightening
breath-wind), tickling,
and producing coneffectively

re-
by pricking with needles may be
sorted to in a case of (simple) hiccough.
Yashti-madku
sugar, or a
mixed with honey, or Pippali mixed with

lnkewarm compound of milk,
the
clarified
butter and the
expressed juice of sugar-cane* should be employed after
manner
of
an
Avapida-Nasya.
into
Vomiting and
extremely
paste with the
purging
may
be induced in a patient not

a
weak.
Red sandal-wood made
lukewarm clarified butter mixed with Saindhava salt, or powdered Saindhava dissolved in
breast-milk, or
water
snuff.
is
beneficial,
if
administered
as
medicinal
12.
Gummy
exudation of
S'dla trees, Mana/i-Ji/d, or
cow's horn, or cow's hairs and skin, charged with clarified

butter, should be used in fumigation (Dhupana).
As an
patient
alternative,
the
seats
of
hiccough
(viz.,
umbilical
region,
etc.)
should be
to
duly fomented.
use
The
should be
advised
lambative composed of
Svartia-Gairika or the ashes of the bones of

tic
any domes-f-,
animal
pasted
with honey.
Hairs of Svavidh
a sheep, a
cow or
of Sallaki should be burnt in a covered
pot and given to be licked
with honey.
Plumes of a
bark
of)
peacock or the
fruit
of
Uditmvara
or (the
Lodhra should be similarly burnt and the ashes thus

prepared should be licked by the patient
in
combination
with honey and
clarified butter.
Sarjikd-kshdra licked
with the expressed juice of Vijapura and with honey
Tepid
Iliilk,
tepid clarified butter and expressed juice of sugar-cane
are also separately used as snuff,
t S'vavidb and S'allaki are the two
different kinds of porcupine.
Chap. L.]
Uf TARA-TANTRA.
317
would- also give instataneous relief in a paraxysm of hic-
cough,
13.
Lukewarm
a
case
gruels (Yavagu) saturated with
clarified
butter as well as
lukewarm Payasa prove curative
in
of hiccough.
The
milk-
of
she-goat duly
cooked with S'unthi and water *
(in the
manner
of
Kshira-paka) and mixed with sugar could
be as well
taken with benefit.
The
urine of a she-goat and of a

fit
ewe taken
infusion
to satiety
would readily cure a
of hiccough.
in
Similarly the smell of Puti-keeta

of radish,
duly soaked
the
Vachd and Hingu \ after the manner of Bhavana saturation would have the same result. 14.
Ndgakes'ara mixed with sugar and honey should be taken with a copious quantity of) the expressed juice
of sugar-cane and
of
Madhuka
flowers.
Pala weight
of Saind/iava salt should be used with two-Pala weight

of clarified butter,
Haritaki should be
first
taken and
then a draught of tepid water.
Clarified butter should
be taken with milk and honey.
Pichu (two Tolas)
weight of the expressed juice of Kapittha should be

taken with honey and powdered Pippali for the
(of hiccough).
relief
lambative
prepared
with
Pippali,
A'malaka,
S'jint/ii,
sugar and honey, or one prepared

fried
with Anjana (Souviranjana), powdered
paddy, and
the kernel (of the stone of) Vadara-fruit should be licked

as a
remedy
for
an attack of Hlcca.
liquid
1 5.
The
*
four
different
compounds
il
prepared
Some
tender 7j<iH<flq as the decoction of S'unthi.

is
t Pnti-keeta
a kind
of
bad-smelling
worm
place
appearing generally
during the rainy season.
t Some read f^psj' (Hingu and
lotus) in
of
'f*w'
both cases, however, ' mfqfl ' means simply 'mixed'.

H
According
to
pared with these
drugs,.
Vrinda and Chakrapani lambatives should be preAccording to some, the decoction bhould be used.
38
THE StlSHKUTA SAMHITX.

mentioned
in
[Chap. L.
with the drugs
the four quarts of the
present verse, vie.,(i)
The
fruit
and flower of Pdtald,(2)
Gairika and Katu-rohini (3) the kernel (inner pulp) of Kharjura and Pippali and (4.^ Kdsisa (sulphate of iron)
and Kapittha (D. R. Dadhi), should be mixed with honey and administered by an experienced physician in
cases of Hicca.
16.
:
Meat
as diet
The
soup prepared with the

S'vadamshtrd,
meat of S'allaka (porcupine),

Vrisha-dams'a (wild
cat),
Godhd,
Rishya (D. R. Riksha
a bear)
and Mriga (different kinds of deer, as well as of Kapota and Pdrdvata (different kinds of pigeon), Ldva and other birds should be taken lukewarm with the expressed juice of acid fruits
and with Saindliava and a

17.
Sneha
(clarified butter, etc.).
Purgatives as well as potions of tepid clarified butter
mixed with Saitidhma-saXt and sugar should be regarded

as highly beneficial in an up-coursing of the bodily
in cases of
V&yu
Hicca.
Some
authorities are of opinion that
the application of an
beneficial in such cases.
Anuvasana-vasti would be also

18.
Thus ends the
fiftieth
chapter in
the
Ultara-Tanlra of the Sus'ruta
SarahitA which deals with the (symptoms
and) treatment of hiccough.
CHAPTER
Now we
shall discourse
LI.

treatment of Asthma
with the (symptoms and) medical
(SVasa-Pratishedha). i. Êtiology : To the same

factors
group
of exciting
which bring
in
an attack of hiccough should

is
be attributed the origin of that voilent disease which
known
as Svasa (asthma).
its
The
vital
Vayu known
rises
as the
upward in unison with the deranged Kapha of the body and produces that gasping and laboured breathing which is
called Sva'sa
Piana-Viyu foregoing
normal function
(asthma).
in
its
This dreadful disease though

is
virtually
five
one
nature and origin
divided
into
spicific
types,
viz.,
Kshudra-Svasa, Tamaka-Svasa,
2
in
4.
Chhinna-Svasa, Maha-Svasa and Urddhva-Svasa.
Premonitory Symptoms : Pain

region of the
as well as to
hear;,
all
the
and at the
in
sides,
aversion to food
other pursuits, suppression of stool

taste
and
urine and a bad
the
mouth,
may
be regarded
5.
as the premonitory
symptoms
of the disease.
Specific
the least
Symptoms
and a
is
: The
type in which
movement
or exertion brings
on an aggravaor relief
tion of the disease,

is
distinct amelioration
restored in a sitting posture,

is
called K8hudra-Sva'sa
The type which

as thirst,
in
accompanied by such symptoms

vomiting and a rattling sound
aggravation specially in foul
In a case of
I
perspiration,
the
throat
is
and
finds
weather
called Tamaka-SJvasa.
is
Svasa the patient
sound
in
the
throat,
Tamakaweak and has a dud (wheezing) also cough, the symptoms as

to
in
of (bronchial) catarrh
and an aversion
breathing
food.
He
is
oppressed with
difficult
even
sleep which
320
abates only
THE SUSHRUTA
when
SAMHITA*.
is
[Chap. LI.
the cough subsides and

If a case of
fits,
aggravated
when the
patient sleeps.
Tamaka-Svasa be
it
attended with fever and fainting
is
then
called
Pratamaka.
9.
The
case wherein
the patient pants for breath and

in the bladder,
has tympanites and a burning sensation
and wherein the breaths

intermittent,
is
are
painful,
detached and
known
rattling
as
Chhinna-svtfsa.
The
case
wherein the patient breathes heavily lying unconscious
and with a loud
sound
in his throat
and with
cramps at his sides, the lips and the throat being parched and the eyes riveted in a fixed gaze or stare, is known
as tfahtf-S 7tfsa.
The
case wherein
a patient breathes
hurriedly, lies unconscious with choked voice
and upturn10
the
ed eyes and with his
Marmans
is
stretching out fully with
each stroke of breath
called Urddhva-Svtfsa.
12.
one
Prognosis
Of
these (five)
types
known a Kshudra-Svasa is easily curable, while the one known as Tamaka-Svasa is hard to cure, and the three remaining ones, as well as Tamaka, ocurring in a weak
or enfeebled patient arc regarded as incurable.
13.
General Treatment : Several

aver that mild
emetics and purgatives
(lit.
authorities
upward and
the
downward cleansing Sodhana

chief
of the system) with

asthma,
if
exception of the application of Sneha-vasli would be the
remedies
in
cases
of
the
patient
Old and matured clarified butter duly cooked with Abhayd, FiV-salt and Hingu or with Souvarchala, AbJiayd and Vilva would be benepossesses sufficient vitality.
ficial in
cases
of cough, asthma,
hiccough and heartclarified
disease.
Similarly old
and
matured
butter
duly cooked with the pulverised drugs of the Pippalyddi
group as Kalka and with (the decoction

of the
first
i.e.
of)
the drugs
the
Viddrigandh&di group and with the

Chap. LI.]
five officinal
UTTARA TANTRA.
kinds of salt added
to
it
321
by way
14
of,
15.
an
after-throw, relieves both
cough and asthma.
Hfmsra'di Chrita :Clarified

of * Himsrd, Vidanga, Putika,
Tri-phald,
butter should
be duly cooked with a Kola (D. R. Karsha) weight each
Vyosha and
four
thus
Chitraka, and with milk
twice as
much and water
times as
much
as
clarified
butter.
draught of
mediated Ghrita
relieves
both cough and asthma and

piles,
proves curative in cases of
aversion to food, Gulma,

16.
diarrhoea and consumption (Kshaya).
A
times
quantity of clarified butter, duly cooked with four

as
much
of the decoction of all the parts (viz.
flowers and roots) of Vdsaka and with its roots and flowers as Kalka, should be used with honey when cold (in cases of asthma). 17. ^ringya'di-Ghrita, A Prastha measure of
leaves, branches, barks,
clarified butter
duly cooked with S'ringi, Madhurikd,
B/tdrgi,
S'unthi,
Rasdnjana, sugar,
all
and
Yashti-madliu
taken
in
equal
Ambuda, HaridrA parts and as

cases of
Kalka and with four times of water, would cure cough, asthma and hiccough 18.
Slivahacli
clarified butter
Chrita S A
Prastha measure of
should
be duly cooked" with twkc as

a Kola (one Tola. D. R.
much of water and with
Karsha)
made
e.
weight each of Suvahd, Kalikd, Bhdrgi, S'ukandsd, fruits

of Nichula, Kdkddani, S'ringavera, Varshdbliu and the
two kinds of Vrihati.
Taken hot
after being
pungent (by the addition of some pungent drug Pippali), it would cure all forms of asthma. 19.
Calrified
g.,
butter duly cooked with the admixture of
Souvarc/iala,
Yava-kshdfa, Katuka,
Vyoslia,
Chitraka,
Vac/id, Ab/iayd,
*
and Vidanga, proves curative in a cas6

be taken
in tile
Some
prescribe Ihe Kalkas to
ordinary
way and
say
that the dose
would be one Kola weight.
41
322
of asthma.
[Chap. LI.
Similarly clarified butter duly cooked

of Gopa-valli
(Sariva)
is
with
twice
the decoction
as
weighing
also
much
as
the clarified butter

five
prescribed.
in
Physicians prescribe these

cases of asthma and cough.*
medicated Ghritas
20-21
Tsfllscfdl-Ghrlta :Clarified butter mixed with Hingu weighing a quarter part of its own weight and duly cooked in combination with four times as much of
water and with
Tdlis'a,
Tdmalaki and Ugrd,

(Chitraka),
Pat/iyd,
in
Jivanti,
Kushtha, Saindhava, Bilva, Pushkara, Putika, Souvarchala,
Kand
{Pippali),
Agni
(Hari-
taki)
and Tejovati as Kalka proves curative
all
forms
of
asthma.
The medicated Ghrita

*
known
as VistL-
Ghrita f and Shatpala-Grhrita

beneficial.
22.
oil
would likewise prove

combination
The
proper. use of
duly cooked
in
with the expressed juice of Bhringa-rdja weighing ten

times as much, would relieve cough and asthma. 23.
Meat 83 Diet
Vishkira species
the juice of
etc.)
(e.g.
Essence
(e g.
of
any
etc.)
bird
of the
chicken, Lava,
fruit
charged with
any acid
pomegranate, Vijapura,
salted with a
and with
clarified butter
and
profuse
quantity of Saindhava, or the soup of Kulattha cereals,

properly cooked with the heads of
as milk
Ena
deer,
etc.,
as well
duly cooked with (Anti-asthmatic and Vayudrugs

(c.g.
subduing)
Pancha-mula)
would
destroy
cough and asthma.
24.
The five Lam bat Ives : a

*
lambative com-
Some
editors
add
is
this sentence after the next (Talisidi) Ghrita.
t
(Ch.
Viitf-Cthrlta
mentioned
in
the treatment
'of
Rakta-pitta
in cases
XLV,
20,
Uttara-Tantra).
It should
be prescribed
of
asthma when Pitta predominates. X Sliatpala-Grhrita is mentioned

-it
in the treatment of
V&a-Vy&dhi.
should be prescribed
if
Vtfyn
prevail.
Chap.
LL]
UTTARA-TAJjfRA.
five
,
323
posed of any of the following
groups of drugs men-
tioned in a hemistich each, vis

S'ringi
Pippali,
Tinis'a-seeds,
Karkata~
and
S'uvarchikd {Jatuka-creeper), or Durd-laikd,
cock's feather, Kola' (Chavya)
Katuka and Haritaki,; or porcupine's hair, peoMdgadhikd, and Kane/*

Tvak,
or Blidrgi,
(sugar)
(cardamom),
S'tingavera,
S'arkara'
Tri-kantaka alone, should

clarified butter
and SW/a&J-bark, or the well-pounded seeds of be licked with honey and
by a patient
suffering
from cough and
asthma.
25.'
Powders of
sapta-c/ic/ihada-fiowers
and Pippali should

fried
be taken with curd-cream (Mastu) or powders of

barley grains (?) previously soaked for several
in
times
the expressed juice of tender Arka-twlgs together

taken.
with honey should be

patient suffering from
(cordial)
As an
alternative,
asthma \vou"d drink the Tarpana

the
prepared
with
it
above-mentioned barleyof water
powder (by mixing
with a copious quantity
and) with honey. 26.
A
in the
potion
prepared with the
flowers
of
S'irisha,
Kadali and of Kunda and with Mdgadhikd and dissolved

washings of
rice
would completely cure
all
forms
of asthma.
The
pith or inner pulp
of AWa-stone, roots
of Tdla
skin
(palm) tree (D. R.
Tala-muli)
species,
in
and the burnt

should be taken
clarified
of a deer of the Rishya

;
with honey
or Bhdrgi with honey and
butter,
or Kadamba-seeds
and
Nimba
rice.
combination with
honey and the washings of

Drdkshd, Haritaki,
*
27
28.
Karkata-tfringi
Krishnd,
and
Some,
Others
Maghadhika and Kan a

prescribe
are
synonyms and mean

Pippali
in
Pippali.
therefore,
two
parts of
the
compound.
prescribe one part of Pippali,
and one
of Gaja-pippali.
The
skin of the deer should
be burnt in a covered
earthen pitcher
and the black contents should be used.
J24
THE SUSURUTA SAM HIT A.

in
[Chap. Lt.
Durdlabhd
combination with honey and
clarified
butter, should be licked by a patient whereby he would
get rid even of a violent attack of asthma.
lambative
Mariclia,
composed of the
Drdkshd,
treacle,
equal
parts
of
Haridrd
Rdsnd,
oil
Kand and
by an
S'athi. should
be
given to be licked with
asthma-patient, condiet.
forming to the regimen of wholesome
29
30.
medicinal
The expressed should be licked by

remedies or
liquid
of cow-dung and
horse-dung
the patient with
honey and powdered
Pippali in cases of cough and
asthma.
The
compounds mentioned in connection with Pandu-roga, and edema (Sotha) or cough, may be employed with efficacy both in cough and asthma. A compound
made
liquid
of Bkdrgi, Tvak,
Tryushana,
oil,
Haridrd, Katuthe
(to
fohini, Pippali,
Maricha,
Chandd
and
with
expressed
of
cow-dung should
should
be given
be
licked).
UtkrfriktC
be
it
prepared
Tala-keeta-vija*
Taken
internally,
instantaneously subdues even

31
violent attack
of asthma.
34.
clari-
Articles
recommended : Matured
fied butter, Pippali,
soups of Kulattha, or of the flesh of

rice-
any Jingala animal, Sura, Souviraka (fermented

boilings),
Hingu, the expressed juice of Mdtuluiiga, honey,

(as diet)
Drdkshd, Amalaki and Bilva arc recommended

in
cases of asthma and hiccough.
35.
Application Of SV.eda : Oily

(Snigdha-Sveda) with the help of
applied to the patient
suffering
oil
fomentation
should be
hicin
and
salt
from asthma and
cough, whereby the hardened
Kapha (accumulated
the channels) would be liquefied and the deranged bodily
Vdyu
*
pacified.
If
the
Vayu and Kapha

is.
be not thereby
We
do not know what 'Tala-kecla'
Some
printed editions read
"Tali>a-l;ceta"
which would evidently mean a "bug".
Dallana
silent
00 the point.
Chap. LI.]
UTTARA-TANTRA.
diet
first
325
pacified,
treated with
Sneha
and then with a

with
meat-soup.
consisting
of boiled rice cooked of
Application
to.
Dhuma-inhalation
should then be resorted
36A.
stick (Varti)
Application of Dhuma: The

to be used in the process should be duly
made of Manalir s'UA, Deva-ddru, Haridrd, Patra, Guggulu, Ldkshd and Eranda-xoots made into a paste. Compounds made of
clarified butter, fresh
wax and
;
resin
or of cow's
horn,
hairs, hoof,
tendon and skin
or of Turashka (Sila-rasa),
S'allaki (Mocha-rasa), Guggulu and
Padmaka, should be
the addi-
pounded together (and made

tion of clarified butter.
into sticks) with
An
intelligent physician should
use these (sticks) for the purpose the disease.

36.
of smoke-inhalation in
Purging
patient
and vomiting
should be
induced
in
overwhelmed with the action of the deranged

of the
Kapha, while Tarpana measures with the administration

of a potion of the well-cooked soup of mutton or
of any Jangala or Anupa prescribed in the case of a weak
flesh
animal, should
or
be
enfeebled patient,
internal parched
or in respect
of'
one suffering from an

37.
condition of the body.
A
much
lambative should be
prepared with
Nidigdhikd
paste of the weight of an Amalaka, mixed with half as

of
powdered Hingu and with a copious quantity of

force
38.
fire
honey. Duly taken, it would per paroxysm of asthma within three days.
Irresistible
is
conquer a
an attack of asthma like that of a
fed with heaps of fuel (D. R. fauned
by the wind) or
like
that of the thunderbolt hurled by the wrathful
Indra,
the king of the gods.

Thus, ciuU the
lifty-first
39.
the
chapter in
Ultara-Tantra of the Sui'rula-
Samhita which dcalo with the (symptoms, and) treatment of asthma.
CHAPTER LIL
Now we
shall discourse
with the (symptoms and) medical treatment of cough.
(Ksfea Pratlshedha).
in
i.
Cause and Etiology : Cough has

the
its
origin
same
sets
of causes, which
excite
or usher in
an attack of hiccough or asthma.

the body
The
is
vital
Vayu
of
known
as
the Prana-Vayu combined
with
other Doshas (Pitta and

causes as the dust (into the
Kapha)
deranged by such
or
entrance of
smcke
of
particles
of
larynx
and
nostrils),
over-fatiguing
physical exercise,
inordinate use of any dry or parched
(Ruksha) food, any food going wrong way, voluntary

repression
of
of
sneezing or of
any natural propulsion

it
the body.
Thus deranged,
is
suddenly pressed
in
upward and emitted through the mouth

the deranged
unison with
trachea)
Udana-Vayu
This
is
(situated
in
the
producing a peculiar sound

Indian bell-metal.
learned.
2
resembling that of broken

called Krfs'a (cough)
by the
into
3.
Classification
five
:-- This disease

it is
is
divided
types according as
originated
through the
action of the deranged Vayu, or Pitta or
Kapha
of the
body, or
or to
is
due to the presence of any ulcer (Kshata)
These
five
any wasting process (Kshayaja) in the organism. types of cough are recognised by the physi-
cians (in practice), which,
when
fully developed,
(i.e., if
neglected) would tend to produce phthisis (Yakshma). 4.
Premonitory Symptoms
the throat, a sense
of obstruction
feeling
in
in
:- itching
in
eating (difficulty
of deglutition), a sticky
the throat and in
Chap. LJI.]
UTTARA-TANTRA.
327
the palate, changed voice, aversion to food, and dulness

of the digestive
fire
are
5.
the
symptoms which
person
usher, in
an attack of cough.
Specific
Symptoms : A
affected
with a cough of the Va'taja type, complains of an aching

pain in the region of his heart, in his temples, head,
stomach and the sides and has dry and frequent coughs
(unattended with mucous expectorations),
face,
with a pale
a weak and hoarse voice and diminished strength and vigour (Ojas). A burning feeling in the region of the heart, fever, sense of dryness, and a bitter taste in the
mouth,
thirst,
yellow and pungent expectoration, paleness

sensation in the body, are
of complexion and a burning
the indications of the Pittaja type of Kdsa.

sense
in
sticky
the mouth, a sense of physical

to
lassitude,
head-
ache, aversion
food,
sense
of
heaviness in the
body, itching, frequent
fits
of cough
and thick mucous
expectorations are the features which distinguish the
Kaphaja
ation
in
type.
68.
Symptoms
over-fatiguing
of Kshataja Ka'sa :Ulcer?)
the Vakshas (chest

physical
caused by loud reading,

or
exercise
carrying loads of
excessive weight, or incidental to

thereon,
fits
affects
the
locality
any blow or hurt dealt and gives rise constant
of
cough
is
accompained
disease
chest.
called
by blood-spitting. The Kshatja Ka'sa or cough of ulcerated

toils
9.
Sexual excess, carrying heavy loads, excessive

of journey, over-exertion of horses and elephants and
in
battle, forcible controlling
such other fatiguing feats
tend to produce parchedness of the system and ulcers in

the Uras (chest) whereby the bodily
Vayu
is
is
deranged
only
and cough
is
produced.
The
patient
afflicted
with a sort of dry cough at the outset but begins to

THE SUSIIRUTA SAMHITX.
with the progress of the disease.
in the throat
[Chap.
328
spit blood
feels
HI.
The
Uras
patient
(chest)
an excessive pain
and
his
seems to be broken and pricked into with sharp needles,
and cannot bear

pressure
locality.
thirst,
the least touch
on account of the
in
of an
intolerable
in
aching pain (Sula)

the joints,
fever,
the
Breaking pain
asthma,
and
loss of voice are the
symptoms which mark

the patient
lies
the Kshataja type of the
disease and
moaning
person
like a pigeon.
10.
fire
Kshayaya-Kefea. The
who
and
or
is
of digestion
in
addicted to the habit of taking unwholeor of taking

it
some and incongenial food

time
quantity
or excesses
at
improper
sexual
or
who
in
is
given
or
to
who
indulges
his
grief
disgust
abhorrence (of food) in

represses
affected
mind, or
of
his
who
voluntarily
any natural urging

and diminished.
a
It
body,
becomes
all
(thereby) aggravates
in their
the three Doshas of the body, which,

rise
turn, give
to
type of cough
of
attended with a gradual
emaciation
the
body.
The
disease
fever,
is
called
Kshayaja
sensation
Krfsa.
in
Cramps
in the limbs,
fits
burning
the body, fainting
(Moha), loss of
of the
strength (Prana) and of flesh, emaciation

spitting
body,
blood
streaked
with
pus,
and
weakness
are the
symptoms
of this
type of Kasa known as
Kshayaja Kas'a. It is said by medical experts to be due to the concerted action of all the three Doshas and to be included within the categoiy of diseases which are very hard to be cured. A case of cough (in an old man)
due to
tion.
his declining years is only susceptible of pallia-
II
12.
:
General Treatment
sisting
compound
con-
of
Srt'ngi,
Vac/td,
Kat-phala,
Ka-trina, Musta,
pjtanydka,
Abhayd,
Bhdrgi,
Deva-ddru,
Vis'wa and
Chap. LII.J
UTTAKA-TANTRA.
in
329
Hingu taken
hot water would rapidly cure a case
of long-stand ing cough.
lambative composed of the

Vyosha,
equal quantity of Tri-phald,
Vidanga, S'ringi,
Ra'sna'
',
Vacha',
Padinaka
butter,
and Deva'-ddru pounded would speedily conquer a
together and mixed with a copious quantity of honey,
sugar and
clarified
13-14. cough should use a lambative composed of Pathyd, sugar, Amalaka, fried paddy, Mdgadhi, and S'unthi pounded together and mixed with honey and clarified butter, or take Krishnd and
serious attack of cough.
patient afflicted with
Saindhava
salt
with
in
warm
water.
He
should
use use
Ndgara and Pippali

and
vera,
clarified butter.
combination with
treacle, or
a lambative of the paste of Drdkshd mixed with honey
A compound composed
of the equal
parts
of Drdkshd, sugar and Mdgadhikd, or of S'ringaYashti-tnadhu, and
Tugd (Vams'a-lochana) should

clarified butter
;
be licked with honey and
or a com-
and an equal quantity of Markka should be licked with honey and clarified A compound consisting of Dhdtri, Kand, Vis'va butter.
pound consisting of
S'itopala (sugar)
and S'itopala (sugar) should be taken with curd-cream

(Dadhi-manda).
person
suffering from
an attack of
cough should use Harenukd and Mdgadhikd taken in equal parts and pounded together through the medium
of curd.
and the
in
pith
i
The two kinds of Haridrd, Deva-ddru, S'unthi cf a Gdyatri-trcc pounded and mixed
parts,
equal a
should
a
be taken
Tilvaka
with the
urine
of
of
goat,
or
pulverised
compound
'should
consisting
Danti,
Dravanti and
be taken.
Leaves of Vadara pasted with Saindhava salt and fried

in clarified butter
should be taken
or
a Kola (two
acid
tolas)
weight of Hingu should be taken with fermented

fruit.
ricc-bmlings (Souviraka) or with the juice of
42
330

Markka
should
[Chap.
LH.
Powdered
honey.
be
likewise
licked
with
15.
: The patient smoke of a burning Varti (medicinal stick) composed of Bhdrgi, Vachd and Hingu, pounded together and mixed with clarified butshould be
Inhalation of
made
Dhuma
the
to inhale
Eld and Lavana mixed with clarified butter. Similarly, a patient suffering from an attack of cough due to Vita and
ter,
or of the scrapings of (green)
bamboo
Kapha
should
inhale
the
of
smoke
of a Varti
prepared
with Musta,
bark
Ingudi,
Yashti-madhu, Mdnsi,
Manah-s'ild and Haritdla pasted together with goat's urine and then take a draught of milk. 16.
be combination with Markka, whereby a fit of cough would be instantaneously subdued. Milk duly boiled and cooked with the admixture of Dr&kshd,
taken
in
In the alternative, Sidhu (a kind of wine) should
Ambu
(Valaka), Manjishthd and
Pura\ should be taken
puis* should be taken with powdered Kanta-Kdrikd, Nagara and pippali mixed with honeyj. Utkaraka (a kind of confection) prepared
with honey.
Well-boiled
Mudga
with clarified butter,
Mula
Truti (Ela),
leaves of
Vadara and a copious quantity of powdered Ndgara A thin Peya prepared with the precedshould be used.
ing
drugs
17
may
be taken
cold
in*
honey.
combination with
19.
Treatment of V&aja Kasa :The

cated clarified butter mentioned in connection
*
medi-
with the
Dallana explains "twiT as
A*%$
(leaves of bamboo).
t Pura means S'allaki (gum) or Guggulu. -Dallana. t Dallana leads qr^WTfl^ as a variant and explains that the powders of TrUcatu should be added in a large quantity in place of honey.
frBy
to
the term
^y'o'ne mean q^f(taddish't
while others take
it
mean
the drugs of the Pancha-mula-group.
Chap. Lit]
UTTARA-T ANTRA.
33*
medical treatment of Plihodara (enlargement of spleen)
tive
and known as Shadanga-Ghrita * proves equally curaClarified butter duly in cases of Vtftaja-Ka'sa.
cooked with the drugs of the VidAri-gandhddi group,
or with the expressed juice of Vdsaka, would also prove

beneficial.
Applications of purgatives with any Sneha,
as well as those of
Asthipana
or Anuvrisana-Vasti are
recommended.
Inhalation
of
Snaihika
(oleaginous)
butter,
Dhuma
as well as potions of
lukewarm
clarified
gruels duly cooked with meat-essence, milk

tives saturated
and lamba-
with clarified butter,

case.
20.
may
be taken with
advantage
in
such a
Treatment of Kaphaja Ka'sa :Cases of

Kaphaja-K&a
tives,
readily yield to the use of emetics, purga-
medicinal head-purgatives,
medicinal
gargles, hot
and pungent lambatives as well as the inhalation of smoke

(Dhuma).
light,
Any
articles of
food which are emaciating
(.<?.,
percifying and small in quantity and even fasting)
should more particularly be beneficial.
case of cough
is
due to the action of the deranged bodily Kapha

relieved
by the use of
Tri-katu,
or of clarified butler
\
duly cooked with the expressed juice of Krimighna

Nirgundi.
(Vidanga) or with the expressed juice of the leaves of

2f.
clarified butter
duly cooked
in
combination with
twice as
much
juice of Nidigdhikd (Kantikari)
and with
the Kalka of Pdtkd,

*
Vit-salt,
Vyosha,
>8.
Vidanga, Sain'
It is better
For Shadanga-ghrita, see chapter XIV, Para

.
known
as Shatpalaka-Ghrita.
t According to Vagbhata the clarified
butter
should be duly cooked
with the Kalka of Tri-katu and with the decoction (Rasa) of Vidanga.
X Some lake 'Krimighna'

any antiparasitic drug,
to
mean Vidanga,
others
take
it
to
mean
viz., the
drugs of the Surasadi-gana. Dallana.

shjuld be used
if
The
j.ice
infusion
or
decoction of Vidanya
Ibid.
its
expressed
be not available.
332
THE SUSIIKUTA SAMHITX.
[Chap,
tit
dhava, Tri-kantaka (Gokshura), Rdsnd,

S'ringi, Vachd,
Chitraka, Vald,
Mustd, Deva-ddru, DurdlabM, Bhdrgi,

in
Abhayd and SKathi, proves curative

of digestion, hoarseness, as well as
asthma, dulncss
violent
the
22,
attacks
of the five different types of cough.
Pittaja
wasting
and Kshayaja Kasa : A
case of
cough of the Pittaja-type, as well as the one due to the

yields to the use
(Kshaya) brought about by sexual excess, every morning of the clarified butter,
Sdrivddi and the Madhura
duly cooked with the decoction of the drugs of the

Viddri-gaadhddi, Utpalddi,
(i.c.
Kakolyadi) groups and with the expressed juice of

milk
sugar-cane, water,
Kdkolyddi group as
and with the drugs of the Kalka and with the addition of
sugar as an after-throw.
The
three
cases
viz.,
Pittaja,
Kshataja (ulcer-orignicd) and

wasting process
the
in
Kshayaja (due
to
any by
the system) of
Kasa
are
relieved
use
of
the
Bfidrgi, Pippali, Piydla,
compound prepared Madhulikd. Eld and Amalaka

with Kharjura,
mixed
in equal parts,
and taken with a copious quantity

23
of clarified butter, honey and sugar.
24.
Cases of the Kshataja (ulcerated) or Kshayaja (consumptive) Kasa, would become amenable to the use of a
compound
Pdthd,
consisting
of the
equal
parts
of
Raktd
(Manjishtha),
Haridrd, Anjana
(antimony).
Chitraka,
Murvd and
Pippali pounded together and taken
with honey, or of
clarified butter
duly cooked with the
expressed juice of sugar-cane.
Amalaka powder duly

combination with
Persons
clari-
cooked with milk and taken

fied
in
butter
would prove
efficacious.
afflicted
with the three types of cough
may
take with |benefit
the fine powders of wheal, barley as well as of the
drugs
butter.
of the
Kdkolyddi group, with milk and

with water should
clarified
Treacle boiled
be
taken,
Chap. LlL]
UTTARA-TAttTlU.
with honey and with
biting
it.
3^3
when
cold,
Markka
Prastha
taken at
intervals
by
25
28
measures
of
Ka&yana-Gllda :Three
of the
expressed juice
(six seers
Amalaka and
of
half a
Tula
duly
measure
cooked
and a
half) of treacle should be
with
eight-Pala-wcight
powdered
oil.
Trivrit
(lightly fried) with eight-Pala
measures of
Powdered
Tri-
Granthika (Pippali-roots), Cluivya, Jiraka, Vyoslia, Gajapippali,
Havashd, A/amodd,
Yatndni,
Vidanga, Saindliava,
phald,
Pdthd, Chitraka
and Dlidnya,
the whole
each
weighing a
Pichu weight (two Tolas) should then be

as an after-throw and
added to
it
compound
should be scented with the
three
scented
drugs (Tvak,
Ela and Patra).
The
patient should take an
Tola) weight of this preparation.
Aksha (two The medicine thus

it
prepared
is
called
Kalyana'ka Guda and
proves cura-
tive in cases of
Grahani,
cough, asthma, hoarseness of
voice and phthisis. It serves to improve appetite, increase
the semen
of males
and remove
used.
sterility
in females.
There
is
no special restriction about the regimen of diet

it is
and conduct when
29.
Agastya-Leha :Two
known
as
Palas each of the drugs
Das'a-mula,
Gaja-pippali, Atma-guptd, Bhdrgi,
S'athi, Pushkara-roots, S'imthi,
Pdthd, Gulancha, GranChitraka,
thika (Pippali-roots),
S'amkha-pushpi, Rdsnd,
Apdmdrga, Vald and Durdlabhd, and one Adhaka (half a seer) of Yava together with one hundred large-sized
Haritaki should be boiled with one Drona measure of
water and taken down from
the oven with
>it
its
three-
quarter part evaporated in the process.
should then
be
filtered
through a piece of
linen.
Tula weight of
treacle should be dissolved in the
above decoction and
duly cooked with the addition of a Kudava measure

each of
oil
and
clarified
butter.
When
the cooking
is
334
finished,
[Chp.
M.
powdered Pippali should be added as an afterthrow and honey should be mixed with it, when cooled. One Karsha weight of this elixir Leha should be licked every day in combination with two Abhayas. It conquers cases of phthisis, Grahani edema, dulness
of appetite,
hoarseness of voice, cough,
Pindu, asthma,
heart).,
head-ache (Siroroga), Hrid-roga (diseases of the
hiccough and Vishama Jwara.

elixir
improves strength
A. regular use of this and memory, imparts vigour of
mind and energy of action and removes disinclination by the holy sage, It was first concocted to work.
Agastya.
30.
cooked with the decoction made by boiling the drugs of the Madhura or any other suitClarified butter duly
able
group with the essence of Kulira

to the presence of
in
(crab),
in
Sukti,
Chataka, Ena-deer and Lava proves curative

of cough due
or to
the case
any
ulcer (in the
lungs)
any wasting process
the
system.
The
use of
clarified butter
duly cooked with S'atdvari, Ndga-vald

afflicted
and
Vald proves beneficial to a person
with
cough.
3132.
the fifty-second chapter of the Uttara Tanlra in the Sus'ruta
Thus ends
Samhhd which
deals with the (symptoms and) treatment of cou^jh
CHAPTER
Now we
of voice
shall discourse
LIII.
with the (symptoms and) medical treatment of hoarseness
(Svara-bheda-Pratishedha).
and the
i.
EtlOlOgy : The Vayu

are deranged
other Doshas
and aggravated by such causes as exexternal hurt

or injury
in
tremely loud speaking, taking poison, reading at the top

of the voice,
cold, etc., *
and exposure to
the
and finding lodgment

affect
sound carry .disease

is
ing channels, they
the
voice.
The
is
called Svara-bheda (hoarseness of voice) and
classified
into six different types,
2.
Specific
Symptoms
: The Vsftaja type

eyes,
im-
parts a black colour to the
face,
urine and stool
and the voice acquires the sound of the rough and hoarse braying of an ass +. The face, eyes and the
stool
and urine of the patient are tinged yellow

proceeding from the throat with an
In the
internal
in a
case of the Pittaja type as

if
and the voice sounds sunken

burnpatient cons-
ing sensation.
Kaphaja type the

in
tantly feels a sense
of constriction
his
throat with
mucus and
belonging
types,
is
only enabled to speak slowly and softly

in
and that specially

to
the day.
Symptoms
in
specifically
the
three
preceding
Dosha-originated
the type due to
are
simultaneously present
the concerted action of the three Doshas (Tri-Dhoshaja)
together with indistinctness of speech and
incapability
Here
Pitta-aggravating and
Vayu-aggravaling
'^hnf^fH:'
I
causes also are
intended by the word
*rrf?' i-e., etc. in

is
t Pallana's reading evidently
ir^^^f indistinct).
336
of articulation.
curable.
3
THE SUSIIRUTA
This
type
SAM111TA.
[Chap. LHI.
should be deemed as
in-
6.
Symptoms
doJ a types : In
mately disappears.
of
the
Kshayaja and MeKshayaja

stage
type the voice

lower,
it
emits vapour and, becoming lower and
ulti-
This
of Svara-bheda (loss
of voice) should be given of the
up
as incurable.
In an attack
Medoja type the
patient speaks very indistinctly,

it
the voice remaining, as

his throat, lips
were, inside his throat.

stick)'.
And
old,
and palate become

:
7-8.
Prognosis
congenital
incurable.
Svara-bheda
as
in cases of
weak,
emaciated, or fatty patient,

or Tri-Doshaja
9.
well
as
a long-standing,
one should
be regarded as
General Treatment : The

patier.t
body
of the
should
lit.
be
first
rubbed
wiih a Sneha (clarified

the
butter,
treated
with
emulsive measures) and

underlying the root
the
of
deranged bodily Dosha
the
attack should be curbed with

gatives,
help
of emetics, pur-
Vasti,
crrhincs,
Avapida-Nasya,
lambativcs,
smoke-inhalations or gargles.
previously mentioned
of cough and
in
Measures and
be
as
remedies
connection with the treatment

should
well
asthma
employed
hear
in their entirety in
the present
disease.
Now
me
describe the medicinal remedies

beneficial
which arc specifically
to
a patient afflicted with an attack of Svara-
bheda.
10.
:
Treatment of Vataja Type in

Va'taja type
after a full
the
of the
disease,
the
patient
should take,
meal,
clarified
butter
mixed with the ex-
pressed jiyce of Kdsa-marda, Vdrtdku and
Mdrkava with
Yava-Ks/tdra
Artagala (Arjua).
In the alternative,
Ghrita prepared
from goat's milk and duly cooked with
and Aiamodd or with Chitrak-a and Amahrka, or with
Chap.
tW.J
UTTARA-TANTRA.
337
Deva-ddru and Agtri (Chitraka) should be taken with

honey.
The
diet of the patient in such

rice
a case should
clarified
consist of boiled
butter, followed
taken with treacle and

tepid water,
by draughts of
be
constantly
n.
Plttaja
butter should
and Kaphaja types : Clarified

used with milk in the Payasa * duly prepared Yashti-madhu and clarified
Fittaja type of the disease.
with
butter,
the
admixture of
Lambatives composed of the powdered drugs of the Madkura (Kakolyadi) group saturated with honey and clarified butter, or of powders
should also be taken.
of S'atdvari or of Vald should be similarly taken. ders of pungent drugs should be taken
Pow-
with a copious
oil
quantity of cow's urine or licked with

in a case of the
and honey
Kaphaja type
of Svara-bheda. 12
13.
Hledoja, Kshayaja, etc.,
Types : The
medical treatment in the case of the Medoja type of Svarabheda should be the same as in the Kaphaja type.
The medical treatment of the Tri-Doshaja and Kshayaja

types of the disease should be taken in hand without
holding out any hope of recovery.
with the drugs of the

in
Milk f duly cooked Madkura group should be taken

in
combination with sugar and honey
a case due to
the effects of loud speaking.
1415.
the Sua'ruta
Thus ends the
fifty-third
chapter of the Uttara-Tantra in
Samhita which deals with the (symptoms and) treatment of hoarseness.
*
sugar.
Patyasa
is
a special preparation of rice boiled with milk end

or of a sbe-buflalo, etc,
t Milk of a
cow
may be
used here. Dallana.
43
CHAPTER
Now we
shall discourse
LIV.

treatment
i.
with the (symtoms and) medical
of
worms
(Krlml-Roga-Pratishedha).
Causes : The
of a previous meal,
Pitta
and Kapha of the body are
aggravated by such causes as eating before the digestion

excessive use of any indigestible,
uncongenial, incompatible or filthy articles of fare, seden-
tary habits, partaking
of cold,
heavy or fatty meals,
sleeping in the day-time, excessive use of
Mdsha,
cikes,
Vidala
root
(cereals),
Visa Hotus stems),
S'dluka (bulbous
(wine)
of the lotus),
of
KaJeruka, pot-herbs, Surd

fermented
rice-gruel),
S'ukta (a kind
treacle,
curd,
milk,
sugar-cane,
Palala (dried plants of corn), flesh

(oil cakes),
of
Anupa animals, Pinyaka

and such other
Prithuka (Chipi-
taka),
articles of fare as well as
by the use
of sweet, acid and liquid articles.
They help the germinand Pakvas'aya

2.
ation of parasites of various shapes in the different parts
of the body, Amas'aya (stomach)

tines)
(intes-
being their principal seats or location.

:
Classification
human organism)
species,
The
worms
into
or
parasites
(which are found to germinate and grow in a living

are divided
twenty
in feces,
different
and have
their origin
shall
2
either
Kapha
or
blood
*.
Now
enumerate
their
names and
characteristic features.
3.
Names and Symptoms
of Purlshaja
worms which
are
Worms
*
external
filth
The seven kinds

viz.
of
Charaka speaks of another kind

of the body), over
Malaja
(produced from the
and above
that kind of
worms which
are
present in every organism from the very birth (Sahaja).
Chup. LIV.]
UTTARA-TANTfcA,
339
known
as
Ajava, Vijava, Kipya, Tripya, Gandu-pada,

feces (Purishaja).
in
Chunj and Dvi-mukha, originate from
They
size.
are white
and extremely
attenuated
their
They
thicker
frequent the passage of the rectum and

(therein).
tails.
produce a pricking pain

are
Several
of
them
of
and have
loss
Cramps
(Sula), dulness
of appetite, yellowness
of complexion,
distension
the abdomen,
to
of strength, water-brash, aversion
food,
heart-disease
(Hrid-roga)
and
looseness
of
stool,
are the
symptoms which mark the presence of
worms (in the intestines), which originate in the feces. Of these Gandu-pada worms are red and long in their shape producing such symptoms as cutting pain (Sula),
rumbling sound in the
indigestion
intestines, looseness of stool,
and
itching sensation.
and they come out of the anus with an 4 5.
Kflml: Those
origin
in
Names and Symptoms

known
as
of Kaphaja
Darbha-pushpa, Maha-
pushpa, Praluna, Chipita, Pipilika and Daruna.have their

the deranged
Kapha.
They
are either hairy
or have hairs only on their heads,
or are
marked with
with
tails.
brown spots on
their sides or
are provided
They They
are white
eat
and small-sized
the
like fresh paddy-sprouts.
away
marrow and bore
into the eye-balls,
the palate and the ears and produce
head-ache,
cardiac
7.
troubles (Hrid-roga), vomiting and catarrh.
Names and Symptoms

Kfimi: The
the vitiated
of Raktaja
names of the worms originating from blood are Kes'ada, Romada, Nakhada, Dantada, Kikkis'a, Kushthaja and Parisarpa *. They are either black or blood-coloured, glossy and thick and
*
The names
of these
worms have been derived from
the
nature
of their actions on the different parts of the organism.
340
THE SUSHRUTA SAMHIlX
[Oi*p. L.IV.
generally produce diseases -which are peculiar

vitiated state of the blood * in the
to
the
body.
8.
Specific Causes :Worms

origin
in
results of the (excessive) use of such
which have their

of fare as
the feces (accumulated in the bowels) are the

articles
Mds/ta-pu\se, cakes, salt, treacle
and
pot-herbs.
in
The
Kaphaja worms germinate

of eating
flesh,
in the
system
consequence
treacle, milk,
Mdska-pulse (D. R.
fish),
curd and Swkta (a kind of fermented rice-gruel).
Worms
which originate from the contaminated blood of the

body, are intimately connected with the use of pot-herbs
and
of fare.
other
9.
indigestible
and
incompatible
articles
General
Symptoms : Fever,
mark
the presence of
paleness of
complexion, Sula, cardiac troubles (Hrid-roga), lassitude,

vertigo, aversion to
food and diarrhoea (Atisara) are
the complaints which the system.

10.
worms
-in
Prognosis :Of
of
these the
first
thirteen kinds
worms may be seen with
the naked eyes, while those the

)
beginning with Kes'ada

Kes'ada and
incurable).
(viz.,
Raktaja worms) are

the
first
not so visible and (of these latter
two
(viz.,
Romada) kinds should be given up

11.
first
(as
physician should
ascertain the nature of the
worms and, with a view

fied
to
destroy their colony in

(clari-
the body, should treat the patient with a Sneha

butter or oil) and then administer an
butter duly
emetic with
of the
clarified
cooked with -the

should
drugs
Surasddi group.
with
He
then
purge the patient

treat
any strong purgative

Kulattka-pu\se,
and
him with an
Asthapana-vasti prepared
Kola,
*
with the decoction of Yava,

of the Surasddi
and the drugs
See Chapter xxiv., Sutra Sthaca.
Chap.
UV,
UTTARA-T ANTRA.
Sneha
341
(clarified
group, charged with salt and with a

butter Or
oil)
duly cooked with
Vidanga.
Just
after
the flowing out of the injected anus) the patient should
solution (through his
be
bathed
with lukewarm
water and a meal prepared with vermifugal articles

should be given to him.
Anuvasana-vasti
should
then
be applied with the preceding Sneha (prepared with

Vidanga).
He
should take a
potion composed of the
expressed juice of S'irisha
and
Kiniki
(Apamarga)
pressed juice of
mixed together aud sweetened with honey. The exKevuka may be similarly (mixed with
1 2.
and) administered with a meal prepared with the articles

of strong (Tikshna) property.
A
of
paste (or powder) of Palds'aseeds or the expres-
sed juice thereof should

rice.
be taken with the washings

juice
The
expressed
of
Pdrtb/tadrn-lc&ves
should be taken with honey.
The
juice extracted
from
Pattura * or the drugs of the

(similarly)
Surasddi group should
be taken, or the
of
powders of dried horselicked with honey.
dung
or
Vidanga
should be
Pupulika-cakes prepared with (pasted
Yava and) the
pasted leaves of Muskika-parni (a kind of Danti) should
be taken by the patient followed by draughts of Dhanyi-
mla (fermented paddy-gruels).
13
14.
Oil duly cooked with (the paste and decoction of)
the drugs of the Surasddi group should be given to be
drunk.
for
Different kinds of cakes should be
prepared
Vidanga.
him with (Yava mixed with) powdered

in
Sesamum-seeds should* be duly soaked

of Vidanga (after
the decoction
saturation)
the
manner
of
Bhavana
and
use).
*
it
oil
should be then
pressed out thereform (for his
IS A.
Dallana explains ''Pattura"
as
S'ephalika,
but S'ivadas'a
takes
to
be S'alincha,
342
[Chp. LTV.
Powdered excreta of a Svavidh (porcupine)

ly
similar-
soaked seven
Trirphald and
times
of
in
each of
the decoctions
licked
of
Vidanga should be
with
honey, followed by draughts of the expressed juice of
Amalaka, Haritaki, and Aksha (Vibhitaka). Powders of any (dead) metal (Ayas) * may also be prepared and
taken
in the
preceding manner.
expressed juice of Putika should

or
Pippali-roots
be taken with honey,
should
be administered
through the
(killed
vehicle of the urine of a she-goat.
Trapu
lead)
should be rubbed
in
the
upper liquid part of curd

for
(Mastu) and should be taken
a week.
Worms
which have their origin

aggravated
in
the accumulated feces or
Kapha
in
the
body should be destroyed

15.
with the help of the aforesaid medicinal remedies.
Medicinal
Anjanas, Nasyas and
Avapidas should
employed in destroying the different classes of vermins which infest the regions of head, heart and mouth and the nostrils. The liquid expressed
be particularly
out of horse-dung should be dried and then
ly soaked several
successive-
times in
the
decoction of
into
Vidanga.
nostrils
etc.+)
The
preperation
should be blown
the
(Pradhamana).
Powders of
killed
metal (Ayas,
Oil
may
used
also
be applied in the same manner.
duly
cooked with the drugs of the Surasddi Gana should be

in
snuffing with the
blue part \ of Indian bell-
metal.
17 A.
Measures and remedies

*
mentioned
all
in
connection
t Ayas
AyM iron, as in para

lit.
is also
used for
the metals generally.
15
may mean any
metal.
X Oil duly cooked

would
with the drugs of the Surasddi Gana
should
be
placed. in a pot of Indian bell-metal.
When
the
oil
inner surface of the pot
become blue by being oxidised, the

that blue part
should be well
stirred
and mixed with
and used as an
crrhine.
Chap. LIV.]
UTTARA-TANTRA.
343
with the treatment of alopecia (Indra-lupta) should be employed in cases of Romania
worms
{vis.
where the worms
would be found to have invaded the

Medicines enumerated
in
hairs of the body).
connection with the treatment
of the diseases of the

cases of Danttfda
mouth should be
{viz.
prescribed in
worms
where the vermins would

in
be found to have taken lodgment

in the vitiated
the teeth). Cases
where the worms would be found to have their origin

condition of the blood should be treated
all
as cases of
Kushtha to
in
intents
drugs of the Surasddi Gana, however,
and purposes. The may be used in

bitter
any shape *
Diet
Meals
any case (of Krimi). 17. composed of the articles of
and pungent
tastes as well as
draughts of milk mixed

.
with the soup of Kulatt/uz-p\i\se are recommended
person suffering from any complaint due to the presence

of
worms (Krimi
of whatever kind) and

refrain
seeking their
milk, cooked
destruction, should
from using
pot-herb
meat, clarified butter, curd,
(edible
leaves),
things of acid or sweet tastes as well as cold things in

general.
18.
Thus ends the
fifty-fourth
chapter in the Uttara-Tantra of the Sus'ruta
Samhita' which deals with the (symptoms and) treatment of Krimi-Roga.
* Both internally and externally e. g. as a drink or bath.
CHAPTER
Now we
shall discourse
LV.

medical
treatment of the
disease due to the retention of any natural physical
urging
(UdaVarta- Prat Ished ha),

wise
i.
Causes : A
man
valuing his
life
shall
never repress any natural urging of his body, whether
upward or downward,
is
e.
g. that of
Vayu,
etc.
Udavarta
so called from
its
origin
natural urging such as

micturition,
from the repression of any Vata (flatus), evacuation of bowels,
yawning, lacrimation, sneezing, eructation,

it
vomiting and discharge of semen when
makes
its its
appearance (Udita) and urges a person to answer

call.
Udavarta
is
also
brought on by the repression
of hunger, thirst, respiration

fully describe its
and
sleep.
shall
now
symptoms and the mode

and are
brought
of medical
treatment to
different
be pursued therein.
types
It is of thirteen about through the
aforesaid
to the
causes,
over and above the one incidental

use of unwholesome food and drink
habitual
(Apathyaja).
2-4.
Symptoms
The
in
vital
its
of \fcftaja
(at the
UdaVarta :
anyhow
obstructed
Apana-Vayu
anus)
passage gives
rise
to
distension
and cramps
feeling
in the
abdomen, oppression and a
constricted
at the heart, headache, laboured
breathing, hiccough,
cough, catarrh, catching pain at the throat which makes
speaking and Deglutition
difficult (Gala-graha), violent
movement of deranged the body and suppression
Pitta
and Kapha
all
through
of stools or emission of fecal

5.
matter through the mouth.
Chap. LV.]
UTTARA-TANTRA.
345
repressed urging
PurlShaJa UC&varta : A
for stool is followed
by the exhibition of such symptoms,

severe pain (in the abdoin
as rumbling in the intestines,
men),
flatus,
cutting
pain
the anus, upward coursing of the

or
suppression
of stool
6.
even emission of feces
through the mouth.
Mutraja UdaVarta : A
desire of
repression
of
the
making water
is
is
followed by scanty emission of
urine which
often given out
by
painful drops
produc-
ing distension of the bladder and an excruciating pain in
the urethra, anus, scrotum and the inguinal regions and
about the umbilicus, and sometimes even
in
the head, ac7.
companied with distortion of features
in
consequence.
repression of
yawning
to
leads to
wry-neck (numb-
ness of the
Manya and
of the neck) as well as troubles

local
of the
head due
the incarcerated
Vayu and
and the
grief or
free
violent diseases affecting the eyes,
nose,
ears
mouth.
vent
Tears born of any mental condition of

give
rise
joy and voluntarily repressed without being given

to,
to
severe distempers
of the
8-9.
eyes,
heaviness of the head and catarrh (Pinasa).
A
fulness
repression
of
sneezing
is
followed
by
acute
of
diseases of the head, eyes,

in
nose and ears.
A sense
of
the throat
as well as the
suppression
and
croaking of the incarcerated

bited
in
Vayu
(wind) are also exhirepression
this
case.*
The voluntary
any
natural urging towards eructation gives rise to diseases

peculiar to the
derangement of the bodily Vayu. 10-11.
A
*
repression of
vomiting
is
followed
by cutaneous
in the verse) is
The symptoms mentioned in this sentence (which comprises a taken by Madhava with the following line which
to
line
enu-
merates the symptoms of Udavarta due

eructation.
the voluntary
repression of
44
34
>
THE SUSHRUTA
due
to
SAMIIITX.
the
[Chap. LV.
affections (Kushtha)
bodily Doshas which,
being vitiated, had interfered with the gastric digestion
with reactionary acidity
and produced the vomiting.. and
Painful swelling of the bladder and of the scrotum,
about the anus as well as suppression of urine, formation

of gravels in the bladder
and involuntary emission of

in
semen are the symptoms which manifest themselves

a case of repressed seminal discharge.
Ungratified
12-13.
hunger brings on drowsiness,
aching
pain in the limbs, disrelish for food, sense of exhaustion,
and weakness of eye-sight.
An
ungratified thirst brings
on dryness of the throat and mouth, dulness of hearing
and pain at the
heart.
suppression of breath in an
fits
exhausted person brings on cardiac troubles, fainting
and an attack of Gulma.

yawning, aching pain
An
unindulged sleep produces
in the limbs,
and a sense of heavihead and the

14-17.
afflicted
ness in the limbs as well as in the

It
eyes.
may
also bring on drowsiness.

:
Prognosis An Udavarta-patient
thirst
with
and cramps (Sula), vomiting fecal matter and suffering from weakness and a distressing exhaustion
should be given up by a wise physician,
18.
General Treatment : in
varta the
_
all
forms ofUdain
preliminary treatment generally consists
restoring the
its
normal course and direction.

each case.
deranged and incarcerated bodily Vrfyu to Now hear me again
describe the specific medicinal remedies to be separately
employed
in
19.
Specific
Treatment : in
into the rectum
a case of Vrftaja
Udavarta the patient should be first treated with a Sneha and Sveda (fomentation) after which medicinal injections
should be
made
after the
manner of an
the
Asthapana-vasti.
In
case due
(
to
the incarceration
),
of feces in the intestines
Purohaja
remedial
Chap. Lv.]
UTTARA-TANTRA.
medicines laid
34?
in
measures and
down
connection with
20-21.
the treatment of
Anaha should be employed.

in a case
Wine charged with

salt
a large quantity of Souvarc/tala-
should be administered
due to the
juice of
retenin
tion of urine-
Milk or Eld should also be taken
combination with wine.
The expressed
liquid
;
Dhdtri
diluted with water should be taken for three successive
days
or
the expressed
of the
dung of a horse
treacle
or of an ass should be taken
or wine
made from
(Goudika) should be taken with honey and cooked meat

should beltaken by biting at intervals.
of
One Tola weight
the compound consisting of Bhadra-ddru, Mttsta, Murvd, Haridrd and Yashti-madhu shonld be dissolved in an adequate quantity of rain-water and then be taken.
The expressed juice of Duspars'd (Dura-labha) or an decoction of Kakubha infusion of Kum-kuma (D. R.
/'
e,
Arjuna' should be taken,

little
or
Ervdruka- seeds mixed

water.
with a
salt should also be taken with
Milk
duly cooked with Pandia-mula* or the expressed juice

of
Drdkshd should be
prescribed.
j,s
The medicinal remeof the efficacy
dies
previously described
possessed
of disintegrating gravels, (As'mari)f should be administered.
Similarly,
in
all
the
measures to be mentioned
hereafter
connection with the medical treatment of

\
Mutra-krichchhra
(obstruction
(strangury)
I
of urine) which
later
and of Mutr&ghata % shall have occasion to

in this
deal
case.
with
22.
on should also be adopted
A
*
case
of
Udavarta
due
to
the
suppression of
Both Dillana and S'ivadasa recommend the use of roinoi Pancha-
mula, but S'rikantha rccommeds the Trina-Pancha-mula.

t For As'mail
Sec Chiktisila-sthana, Chapter VII.
% For Mutra-Krichchhra See ch. LIX., Uttara-Tantra. % For Mutraghata See ch. LVIII., Uttara-Tantra
348
THE SUSHRUTA SAMHltX

should
[Chap.
LV.
yawning
of Sneha
be conquered with the applications

(fomentation).
and
of Sveda
The
(with
patient
should be treated with
Sneha and then fomented and

be induced
appro-
lachrymation should then

priate remedies)* in a case
where the flow of tears has

Sneezing should be induced
Avapidas, or by
been suddenly checked.
with the help of strong Anjanas and

the application of Vartis,
smell
at
his
by holding any strong nose or by blowing any strong medicinal

or
powder
body)
into
the nose (Pradhamna) or by making the
patient look
in
towards the sun (or such like luminous

case of
Udavarta due to the suppression
of sneezing.
2324.
In a case of Udavarta due to suppressed eructation,

or
made
in
to
inhale the fumes
of oily
lardaceous articles
due ordcrf or to take draught
of wine surcharged
with Souvarc/iala-saXt and the ex-
pressed juice
to suppressed
of Vija-pura.
case of Udavarta due
vomiting should be duly conquered with deranged bodily Dosha involved

25
emulsive measures (treating with a Sneha), etc, according

to the nature of the
in
each
salt
case.
In the alternative unguents with (Saindhava)
and (Yava-) Ks'hara should be applied.
26.
Milk should be duly cooked with the admixture of four times as much water and- with the drugs of
bladder-cleansing virtues
is
and boiled
this
until all the
water
evaporated.
in
Draughts of
medicated milk should
be prescribed
copious quantities in a case of Udavarta

fluid
due to the retention of seminal

*
and the patient
These are the applications of strong Anjanas and Avapida-Nasyas.
+
(5)
The
order
is
(i)
Dhuma-inhalalion,
(2)
Nasya
(crrhine)
and
Kavala (gargle)
X These are the drugs of the Trina-pancha-mula as well as of the

Viratarvadi groups (Chapter
XXXVIII,
Sutra Slhana).
Chap.'LV.]
UTtARA-TAfoTRA.
349
should be advised to have sexual intercourse with lovely
women.
and
in
27.
Fatty (Snigdha) things should be taken

small
quantities
in
lukewarm
a case of Udavarta due to
ungratified hunger.
Cold Manthas or Yavagus should

in
be given to the
to the
patient of
case of Udavarta
due
in
suppression
thirst.
Food with meat-soup
should be given to
a
case
of
in
the patient after sufficient rest
Udavarta originated from the suppression of

a tired state of the body. Milk* should be
a
case
breath
given
in
of
Udavarta due
to
the suppression
to.
of sleep
and the patient should be made

28.
sleep with
the help of sweet discourses.
Cases of
etc.,
Adhmdna
(distension
of the abodomen),
which are the supervening symptoms of Udavarta)
should be remedied with appropriate medicines and other
measures with an eye to the nature and intensity of the
deranged Dosha or Uoshas involved

lying at the root.
29.
in
each case under-
Udavarta due to errors

by such
bitter
in
diet: The
abdominal (Koshthaja) Vayu deranged and aggravated

factors
as
eating
dry, astringent, pungent or
articles
of fare (in inordinate quantities) causes

in
an immediate attack of Udavarta

(follows an
which the Vayu
as
It
in
upward course and) obstructs its own channels well as those of feces, urine, Kapha, fat and blood. dries up the fecal matter (in the body) causing pain the heart and bladder, a sense of heaviness in the
limbs (D.
R nausea),
and
aversion to food (D. R. unwillingdifficult
ness to do anything) and

of stool, urine
flatus.
and scanty emission
Laboured breathing, cough,

milk
in this, case as
* S'ivaditsa advises lllc use of buffalo's
being mote
efficacious
in
bringing
on
sleep.
Hut
Dallana
refutes
this
and
re-
commends
the use of cow's milk.
350

sensation
in
[Chap. LV.
catarrh, burning
the body,
fits
of unconstroubles in
ciousness, vomiting, fever,
thirst,
hiccough
activity
the head, defective functional
of the
Manas
(mind) and of the ear and such like symptoms, in consequence, pre-eminently
bodily Vayu.
30.
mark
the deranged action of the
Treatment :The
made emulsive (Snigdha) by
composed of
salt
patient's
body should be
the application of unguents
and
oil.
Fomentation should then be

Vasti.
applied under the circumstances, and intestinal injections
should be applied after the manner of a Nirudha

Intestinal
enemas (Vasti) of the AnuvAsana kind should

if
also
be applied after meal,
the
case
be attended
with loose motions in virtue of the specific nature of

the deranged bodily Doshas
involved therein.
Fatty
purgtivcs should be exhibited after having fully foment-
ed
body of the patient, when the foregoing remedies would fail to give any relief from attacks of Udavarta and he should be made to drink a potion of any acid cordial together with the compound of Pilu, Trivrit and Yavdni or with the compound consistthe
Hingu, Kushtha, Vacha, Svarjika-Yâkx^ and Vidanga* each succeeding drug we ighing double the one immediately preceding it in the order of enumeration.
ing of
These two medicinal

with
compounds may be employed

relieving
advantage
31
in
32.
attacks of
Jsula
aud
Udavarta.
The drugs known

Vacha (D.
as Deva-ddru, Chitraka, Kusktha,
R SfunthiJ, Haritaki,
Palamkashd (Guggulu)
and Pusfikara-roots should be duly boiled with half an Adhaka measure (thirty-two Palas) of water and taken
down from
*
the oven with a quarter part
of the original
Chakradatta reads 'faf^' (and Vil
salt) in place of
firfT'.
Chap. LV.]
UTTARA-TANTRA.
remaining.
351
this
solution
Draughts
of the
decoction
would
relieve
an attack of Udavarta.
butter duly
33.
potion of clarified
of
cooked with the

Varshdbhu,
decoction
dried* Mulaka,
Ardraka,
Pancha-mula
f and Arevata (Aragvadha) fruits would cure any form of Udavarta whatsoever, 34.
A compound
consisting of Vachd, Ativishd, Kushtha,
Yava-Kshdra,Haritaki, Pippali and Chitraka should abo
be taken with tepid water, or a compound consisting of

Ikshdku-xoots,
tha,
Madana, Vis'alyd, Ativishd, Vacfia, Kus/iKinva (sediment of wine) and Agnika taken in
Tri-phalA and Vrihati,
equal parts should also be taken in the aforesaid manner.
compound of Deva-ddru, Agni,

barley
should be taken with the urine of a cow.

of Kantakdri-irwxts and
The
a
decoction
weighing
Prastha
cooked
in
an Adhaka measure of water and boiled down

in
to half a Prastha only, should be taken
combination
with Hingu.
35
38.
compound
consisting
of the pulverised seeds of
Madana and
of Aldvu, Pippali and Nidigdhikd should be

pipe.
blown into the rectum with a
Varti made of
Ikshdku,
Nikumblia (Danti), Kampilla, S'ydmd
(Trivrit),
Agnika, (Ajamoda), Krita-Vedhana (Kosataki),
Mdgadhi
and
salt
pounded together, made

of cow's urine, dried
size,
into a
paste with the

into a propor-
addition
tionate
last
and cut
should be inserted into the rectum.
The
two ambrosial remedies give instantaneous

39.
relief in
a case of Udavarta.
Thus ends
the
fifty-fifth
Samhita which deals with the (symptoms and) treatment of Udavarta.

* Dallana takes dried (S'ushka) with both
'Mulaka and Ardraka.

;
t Dallana recommends the major Pancha-mula Chakrapani's commentary, mula.
but according
to
"Bhdnumati,"
it
should be the minor Pancha-
CHAPTER
Now we
shall discourse
LVI.
chapter which deals
on the
with the (symptoms and) medical treatment of Vishuchika type of cholera,
etc.
(VisuchiM-Pratishedlia).
I.
Causes V isuchi,
produced from the
tion
Alasaka and
Vilambika are
kinds of indigesvis.,
effects of the three

(in
spoken of before
(indigestion
Sutra,
chapter XLVI),
so-called),
Amajirna
jirna
properly
Vidagdha-
(indigestion
with acidity)
undigested
and Vishtabdhajirna
stuffed
(indigestion
with
food
into
2.
the
intestines in the
form of undigested
fecal matter).
Definition
ed
The disease
by the
in
which the derang-
and incarcerated bodily Viyu produces, owing to

in
th^ presence of indigestion, a pricking pain

resembling that produced
called Visuchiktf
in
the limbs
is
pricking
of needles
by the
physicians.
Men
well-versed
the (dietetic) principles and temperate in their diet,
enjoy an
almost absolute
immunity from
its
attack,
whereas fools who are greedy and intemperate and eat

like gluttons, fall
an easy victim Jo
it.
3.
Symptoms: Fainting,
tions),
diarrhoea
(loose
mo-
vomiting,
thirst, pain,
cramps, vertigo, yawning,
burning sensation in the body, discolouring or paleness of

complexion, pain (cramps) at the heart and a breaking
pain in the head arc the
symptoms
of Visucbikd.
4.
Alasaka
Excessive pain
Vayu
in
and stuffedness of
the intestines),* and
the abdomen, rumbling noise the upward coursing of the
(in
incarcerated
in
the
abdomen making a croaking rumbling sound

* According
to S'rikantha the
in its
way
commentator on Madhava's Nidana
the patient himself makes an indistinct sound.
Chap. LVI.]
UTTARA-TANTRA,
35J
flatus, hic-
upwards, absolute suppression of stool and
cough
and eructations
is
a patient
suffering
from these
5.
symptoms
said
have an attack of AlaBaka.

:
VilambikcC
The person in whom the deranged
and undigested food matter does not find any outlet either through the upper or lower channels of the body
owing to the fact of its being obstructed in its course by the action of the deranged Vayu and Kapha, is said
to
be suffering from
medical
In
an
attack
of
old
experts and should be
Vilambiktf by given up as in-
curable.
whatever part
is
of
the
it
body the
Ama
(undigested food matter)

characteristic
present,
produces its'own
symptoms in that very part and the vitiation of a particular Dosha in such cases should be diagnosed by the presence of the characteristic symptoms (e. g. distension, etc.,) of Ama (indigestion). 6 7, Prognosis : A patient exhibiting such symptoms as blackish blue (Syama) colour of teeth, nails
and
in
lips,
diminished consciousness, vomiting, eyes

sockets,
sunk
the
their
feeble
voice and looseness of

as
all
joints,
should be regarded
not returning from his

8.
journey (to the eternal home).

of
General Treatment : in
cauterization
the curable types,

(heels),
the regions of
Parshni
dry
fomentation, exhibition of strong emetics and such like
measures are recommended.

at (the
Fasting should be observed

Digestive
time
of)
the digestion of the food.
(Pachana) remedies as well as
purgatives should also
be prescribed.
in
The
patient gets
instantaneous
relief
cases
of fainting, diarrhoea,
etc.,
on the cleansing
of his
body with the medicinal (emetic or purgative) remedies. Intestinal injections after the manner of an
As'thapana Vasti
*
may
be likewise applied in
all
cases
Midhava
reads "thirst" in place of "hic-cough."
45
5$4.

the present disease.
of
tCh*p.
LVL
of
Now
hear
me
describe the
recipes
other medicinal
compounds which may be

to
employed
in the aforesaid diseases in addition
those
already mentioned.
10.
A pulverised
Kalinga
Souvarchala
compound
Ativishd
of Pathyd,
(a
V&ckd, ffingu,
of tepid
garlic),
(Indra-yava),
Grinja
variety
and
taken
with
water
colic,
instantaneously relieves an attack of indigestion,
Visuchika and an
aversion
to
food.
The medicine
VII) or
Sainiaaka),
known
ViH'eXt,
treacle,
as
Kshartf-gada
taken
(Kalpa
chapter
seeds
or mustard-seeds
and a profuse quantity of

(with tepid
(D.
water).
should be
dhava,
Hingu,
Vija-fura,
R.
of
clarified butter
and the two Tri-vargas (Tri-phala and

combination with any fermented gruel
Tri-katu
Tri-katu)
(Kanjika),
in
or
and SaindAavasa.lt mixed
to-
gether with the milky
exudation of Snuhi, should be

In the alternative, the medicated
taken (with Kanjika).

salt
known
as
Kalytfaa-Lavana described before under

be taken (with
or Pippali
the treatment of Vata-vyadhi should
Kanjika). Pippali,
Yamdni and Apdmdrga,
and Danti in equal parts should be similarly taken. Pippali mixed with Danti should also be used with the expressed juice of Koshdvati (Ghosha). Pippali and
S'unthi should also be taken with hot water.
1 1.
The drugs known

(seeds), the
as Vyos/ta
Tri-katu), JCaranja-iruits (
two kinds of Haridrd* and the root of Mdtuequal parts should be pounded together,
lunga taken in
made
into Gutikas (or pills)
and dried
in the shade.
The
1
application of these pills as
an eye-salve (Anjana) along

2.
the eye-lids proves curative in cases of Visuchika.f

* Chakrapani reads Haridra' in the singular number.
t Some here read the following two compounds as an additional

Kushtha, Aguru, Patra, Rami, S'igru,
text
VM
and Tvak should be
Ciup.
tVLJ
tJTTARA-TANTRA.
3$$
etc, should
Diet Digestive
hunger
after
and appetising Peya,
be given to the patient when he experiences a good

he had been fully treated with a course
of emetic or purgative or kept fasting for a proper
period.
13.
Causes and Symptoms of AneCha:

The
disease
in
which
Ama
(undigested food) or fecal
matter, gradually incarcerated (in the stomach) through
the action of the deranged and aggravated local

fails to find its
Vayu
natural
outlet, or
is
not spontaneously
?).
evacuated
is
called
Asrfha (Enteritis
to
A case
of
Anaha due
the accumulation of un-
digested food (in the stomach) exhibits such
symptoms
as thirst, cattarrh, burning in the head, a sense of heavi-
ness and cramps in the stomach, nausea (D. R.

ness
heavi-
of
the heart)
and suppression
of
eructations.
While a case of Andha in the Pakvdsaya (intestines) is marked by a sense of stuffedness in the back and waist, suppression of stool and urine, oolic, epileptic
or fainting
Jits,
vomiting of
feces,
laboured and
the
14.
difficult
respiration (D. R.
swelling),
:
as well as
symptoms
to
mentioned under the head of Alasaka.
Treatment In a case
presense of
of
Anaha due
the
Ama,
the
patient should be treated
with
diet
emetics and
then with digestive medicines and
according to the prescribed order.
The Ama
(undigest-
ed food) in a case not marked by any vomiting of

feces should be treated with fomentation
and therapeutic
mixed together and paated with Kanjika.

for
This would be the best remedy,
rubbing over the body of the patient, in a case of VisuckUat*

Oil should be duly cooked with Chitraka, Yuthi-flower, oil-cakes (of
sesamutn),
Bhallataka,
the two Ksbiras,
Saindhava and two parts of
This should be prescribed by an expert to be rubbed) or used as a plaster over the body of the patient.
Kushtha.
356
agents
of
tHE SUSHRUTA SAMHITX.

digestive
efficacy.
[Chap. LVl.
Vartis
(suppositories)
made by
pasting
the purgative
drugs mentioned in
of a
connection with the medical

together with the
she-goat or of
urine -of
treatment of Visuchika
a
she-buffalo,
or
a ewe or
of a she-elephant,
of the
or of
cow, should be used.
The body
patient should
be
first
fomented and then the powders of the drugs

intestines)
used in preparing the afore-said Vartis should be blown

(into his
through a pipe inserted into

cow's
his rec-
tum.
Decoction should be duly prepared by boiling the

in
drugs of emetic and purgative virtue

decoction mixed with half
urine.
Nirudha Vasti* should soon be applied with the above

as
much
of
cow's
urinef
and with honey and adding
also the
powders of Trivrit
and
laid
salt
weighing a Prakuncha (Pala).

in
The procedure
and boiled
be
injected
down
respect
of
the exhibition of purgatives Oil duly cooked

also
should be adopted here.
with the
foregoing
if
drugs should
into the rectum,
necessary, after the

15
manner
of an
Aunvasana
Thus ends
Vasti.
16.
the fifty-sixth chapter in the Uttara-Tantra of the
Sus'ruta
Samhiti which deals with the (symptoms and) treatment of VisuchikA.
The
application of this Nirudha Vasti 'should
be prescribed only
stage.
list.
in the "(Til" stage of
Anaha and never
in its
"*|RT"
t^Kirtika
Kundu
does not include "urine" in this
He
reads
"iWrtS^'f" (added
in half dose) in place of "jJjnfjpRit".
CHAPTER
Now we
to food
shall discourse
LVII.
with the (symptoms and) medical treatment of aversion
(Arochaka-Pratishedha).
:
i:
j*EtioiOgy
either several
'The
vis.,
derangement of the Doshas

or
or combined
grief,
etc.)
an apathetic
state
of
the
mind (through
tends to block
etc.,
the foodas well as

sorts
carrying channels
the esophagus,
the region of the heart causing aversion to

food, which
to food
is
all
(lit.
of
designated Bhaktopaghtfta
aversion
popularly
it is
known
its
as Arochaka)
by the physi-
cians
and
divided into five distinct types (according

exciting factor).
2.
to the different nature of
Specific
at the
Symptoms
vapid
: Pain
and
cramps
are the
heart and a
taste in the
mouth
symptoms which mark the Va'taja type

sucking pain
thirst
(in the locality),
fits
of Arochaka.
Excessive burning sensation (in the region) of the heart,

a bitter taste in the mouth,
and fainting
are the features which
mark the
Fittaja type of the disease. Itching sensation, heaviness

of the
body, water-brash, lassitude, drowsiness and a

in
sweet taste
characterise the
is
characterised
mouth are the indications which Kaphaja type. The Tri-doshaja type by a good many symptoms which
the
severally
pleasure, as well as repugnant

the
article,
'.
mark the three Doshas. Indulgence in sensual in fear and grief,>yr the sight of any
or of anything that tends to disturb
also usher in
mental Manasa) equilibrium, may

3-7.
S
an
attack of Arochaka.
Treatment
patient should be
In a case of the Va'taja type, the

made
to
first
vomit with the help of
j$8
[Chap. L\TCI.
decoction of Vacha and then be given a pulverised com-
pound of Krisknd, Vidanga, Yava-Kshdra, Harem, Bhdrgi, Rdsnd, Eld*, Hingu, Saindhava and N&gara
through the medium of any Sneha or wine or hot water.
Vomiting should be induced with emetics sweetened \

with the solution of treacle
disease.
in
the Pittaja type of the
The<use of a lambative prepared with SainIn the
dhava, Sitd (sugar), honey and clarified butter would also
be
efficacious.
induced with the
Kaphaja type, vomiting should be decoction of Nimba and the powders of

(after
Yamdni should then

with honey.
the taking of the meal) be
administered with the decoction of Aragvadha mixed
The
pulverised
compound mentioned
in
connection with the treatment of the Vataja type

also
may
be administered
(in this case).
All the preceding
measures should be employed
in the
Tri-doshaja type of
Arochaka.
8-n.
Nimba,
Four Specific Lambatives :(\) Drdkshd,

Patola, Vits&lt, Vetra, Karira (bamboo-sprouts),
Murvd, Abhayd, Aksha, Vadara, Amalaka, (barks of) Kutaja and seeds of Karanja and of Aragvadha should
be (powdered and) duly cooked with the urine of a cow
in the
form of a lambative.
(2)
similar preparation
Tri-katu, the
should be
kinds
of
made
of Mustd,
V-achd,
Rajani, Bhdrgi, Kushtha
two and Nirdahani%

(3)
and cooked with the urine of a ewe.

* Ela*
Similarly
Dallana says that some take
El a in the sense of Ela-valuka
(a part used for the whole).
S'ivadasa, however, refutes this
and
asserts,
<jg|<
on
the authority of Vagbhata, that "Ela" should
mean
Ela.
t According to come, the emetic used should be Madana fruit ; while, according to others, it should be the drugs of the Madhura (Kakolyadi)
group the word 'Madhura'

MadhuVa* (Yashti-madhu)
others,
indicating the same.
Some, however, read
for
'Madhura'.
to
% Nirdahani, according to some, means Chitraka, but, according it means Yamani. The former sense is the most general one.
Chap.
LVH.
UTTARA-TANTRA.
359
Pdthd,
Vamsd-lochana, Ativiihd and Raj'ani should be

the
urine
boiled together with

(4)
of
she-elephant.
Manduki,
Arka,
Atnritd and
Ldngald should be
similarly
boiled
by
an
experienced
and
practical.
physician with the urine

licks
rid
of a she-buffalo.
Whoever
up any * of the four preceding lambatives gets

and the larynx,
of Gulma, aversion to food, asthma* and diseases
affecting the heart
n,
patient should
par-
Regi men Of Diet :The

take of
fruits,
edible roots, etc. which
grow
in his
\
country
other
and
take
cordials,
Shadavas f Ragas
is
and
palatable dishes which are congenial to his physical tem-
perament and which he

also be
accustomed
to.
He
should
made
to
take
(articles of) different
Rasas
in
different
light,
ways and his food should be at the same time Ruksha and agreeable to his taste. 1 3.
applications of Asthapana-Vasti, purgatives
light head-purgatives (errhines) are efficacious in
The due
and of
the disease under discussion.
The
drugs known as
Tryushana, Rajani (D. R.

Tri-phald pounded
the two kinds of Rajani)
and
together and mixed with powdered
Yava-kshdra and honey, should be used as a toothpowder in washing the mouth. Any other drugs of
bitter
and pungent
taste
may
be likewise prescribed
for the purpose.
1415.
* According to Dallana the four
lambativOB
should be used in cases

types of
ofVcCtaja, Pittaja,
r
Eaphaja and Trl-doBhaJa
Arochaka
of sweet,
respectively.
acid
t "Shadava" It is a preparation with a variety Of and saline tastes.
articles
X "Raga"It
salt,
is
a preparation of a cordial with sugar, Souvarchala-
Saindhava, turmeric, Parushaka, black-berry and mustard, etc.
I Dallana interprets
"Rasa" by meat-soup but
we
are inclined to
take
it
in the sense of articles of different tastes (Rasa).
360
[Chap. LVII.
Use of Decoction, Arishtaand Asava
Decoctions of the
with any
different
officinal
drugs of the Mustddi and Aragvadhddi or Da/a-ntula groups as well as the different
lambatives with honey, the different
Asavas prepared
urine and with treacle as well as the
Arishtas and the different Asavas prepared

scent, the
from any Kshdra and resembling in

attack
also
wine
prepared from honey, should be used in conquering an

of
Arochaka.
The
aforesaid
measures should
be employed for the purpose of re-kindling the

fire
digestive
(appetite) impaired through the action of

16.
deranged
V&yu and Kapha.
Treatment of Ma'nasa Arochaka :

In a case of impaired digestion due to the effects of
ungratified desire, fear, grief,
etc,
any
the
lost
longing for
food should be restored in the patient by holding out to
him the near prospect of its realisation and by consoling him with the prospects of fresh joy and safety. In a case
due to the
loss of a splendid
fortune,
the bitter apathy
and loathsomeness of the patient towards taking any food should be removed by infusing fresh hopes into his
heart
and by narrating to him the balmy
stories of
the Puranas.
case due to dejection
or despondency
should be conquered by sincere- sympathy and cheering

up.
In short any impairment of appetite due to any
disturbed
or agitated state of the mind should be remedied with discourses gratifying to the patient under 17
the circumstances.
Thus
Sus'ruta
ends the fifty-seventh chapter in
the
Uttara-Tantra
of the
Samhita which deals
with the (symptoms and) treatment of
Arochaka.
CHAPTER LVIH.
Now we
suppression
shall
discourse on the chapter which deals
with the (symptoms and) medical

of
i.
treatment of
the
urine
(Mutl*(-gh(ta Pratlvis.,
shedha).
The
lika,
disease
is
of twelve* kinds,
Vata-kunda
Mutra-
Ashthila,
Vata-vasti
Mutratita, (Mutra-) Jathara,
Mutrotsanga,
s'ukra,
(Mutra-)Kshaya, Mutra-granthi,
{vis.
Ushna-vata and the two forms of
Kaphaja
and
Pittaja)
Mutraukasada.
2.
Symptoms
bodily
of Va'ta-kundalika':The Vayu deranged and aggravated through an
extremely parched condition or through the voluntary repression of an urging towards micturition affects and
retains the urine in the bladder, causing
it
to revolve in
It
eddies within the cavity
of that
organ.
allows the
urine to pass in small quantity or (even) to

in
dribble
out
drops with pain.

is
This disease
is 3.
known
as Vtfta-
knndalika' and
bodily
of a violent type.
Va'ta'shthila':
Vayu
deranged and aggravated incarcerated or lodged in the region lying
The
between the bladder and the anus gives rise to a thick lumpy tumour like a pebble (Ashthila), which is hard
and non-shifting in its character, producing suppression of stool, urine and flatus, distension of the abdomen and pain in the bladder. It is known as Vtfofehthikt- 4.
Vrfta-vastI :The
to
*
bodily
Vayu
in
the locality,
aggravated by a voluntary repression of a propulsion

urination enters into the bladder of the ignorant
Midnava
read* thirteen
different
kinds of this disease.
He reads
only one kind of Mutra-sAda and adds Vid-vigMta and iVasti-ktiDdaJa.
46
j<52
THE SUSHRUTA gAMHITA.
[Chap. LVIII.
person doing the same and also obstructs the orifice of

that organ causing retention of .urine with
an oppressive
is
5.
pain in the bladder andloins.

VrftarVasti and
is
The
disease
known
as
extremely hard to cure.
Mlltrsftita:
suppressing
it
The urine of a
is
person voluntarily
or
does not flow out at

in
all
only dribbles
out in drops or
scanty jets with slight pain, when

called Mutrtftita.
vital
6.
is
he
strains.
The
disease
Mutra-Jathara: The
Apana Vayu
fills
deranged and aggravated by the Udavarta produced by

a checked desire for urination and
completely
in
up
and distends, with an excruciating pain

below the umbilicus.
The
disease
is
abdomen called Mutrathe
jathara and the lower
orifices*
{vis.
the anus and the

7.
urethra) are obstructed in this disease.
NlUtrOtSanga: The
gradually emitted
in
disease
in
which
the
is
stream of urine gliding along the bladder

scanty
jets
and urethra
or runs
down
(lit.
the
exterior surface of the glan
penis with blood, whether
with or without pain,

urination)
is
called
Mutrotsanga
8.
gliding
and
is
an outcome of the deranged and aggra-
vated action of the bodily Vayu.
Mutra-kshayaand Mutra-granthl:
The deranged and aggravated
ing from
Pitta
and Vayu
in
the
bladder of an extremely fatigued person already suffer-
an extreme parchedness of organism,

in the bladder producing, in concert,
finds
lodgement
a sensa-
tion of local
burning and pain attended with a scanty accumulation of urine in the cavity of the organ (lit.
micturition).
absence of
The
disease which
can be
made
*
to yeild only to
the virtue of therapeutic agents
Some
read
is
**pil*fafMfrw('
the lower part viz., the neck of
the bladder
obstructed.
ChapMLVHI.}
UTTARA-TANTRA.
difficulty is
363
with the greatest
called
Mutra-kshaya.
small round painful
fixed
Granthi suddenly occurring

of the bladder and
etc.,
on the interior side

exhibiting
(of the orifice)
by
its
characteristic pain,
all
the symp-
toms of the presence of gravels (urinary

organ,
orifice
calculii) in that
its
and which
stands
completely obstructing
without letting out a single

its
drop of urine, or
jets,
is
admits only of
called
being dribbled out in scanty

5-10.
Mutra-granthi.
Mutra-ukra and Ushna-va'ta :

person visiting a
woman
in
the presence of a strong
urging towards urination and by voluntarily repressing

the same
is
found to pass urine highly charged with

is
semen which
bles
sometimes seen to precede or follow
the discharge of urine.

the
The
urine in this case resemof
washing or
is
solution
ashes
(lit.
in
colour.
The
disease
called
Mutra-s'ukra
in
semen-charged
urine).
The
disease
which the Pitta of a person

over-fatiguing
deranged by such factors as

exercise,
physical
exposure to the sun, or arduous pedestrian
journey, gets into his bladder completely wrapped in the
deranged
Vayu
of his body, and produces an intense

in
burning sensation
setting
his
bladder,
penis and the anus,
up a painful flow of a dark yellow or blood* streaked urine or of blood alone through the urethra in
its
stead, is designated as Ushna-va'ta.
11-12.
Two kinds of Mutraukasa'da : A nonslimy and thick flow of yellow-coloured urine attended
with a burning sensation, and

like
leaving
dried,
is
sediment
powdered Rochana when
called (Pittaja)
Mntraukaerfda.
disease to the
The wise
action
ascribe
the origin of this

Pitta.
of the deranged
The
type in which a pale sediment resembling the powders

of conch-shell
is
deposited
when the
urine
is
dried and
364
in
THE SUSURUTA SAMHITA\

which the flow
is
[Chp. L.VIII.
painful and
the urine
is sliirty,
thick and white, should
be attributed to the action of

It is
the deranged Kapha.
but another variety of the

13.
disease described immediately before.
General Treatment :Medicinal decoctions,

Kalkas, (medicated) Ghritas, (various kinds of) foods,
lambatives, preparations of milk, alkalis,
honey, Asavas,
fomentation
and
Uttara-vasti
should
be employed
according to their indications in coping with an attack

of any of the aforesaid ailments.
cian shall resort, in these cases, to
efficacious in cases of Asfmari,
An
intelligent physi-
measures which are
or shall employ in their
entirely the
medicinal
compounds
which have been
described
as curative
14.
under the treatment of urinary
Udavarta.
A A
case of Mutra-krichchhra
would be relieved by the
use of pasted Ervdruseeds and Saindhava weighing an
Aksha and taken with the fermented paddy-boilings.

person afflicted with Mutra-krichchhra should take
rice,)
wine (prepared from Pishta or pasted

pared from honey by biting
in
combina-
tion with SouvarchalasdXx, or he should
take wine pre-
meat
at
intervals, or take
any wine made from

Karsha measure of
treacle.
In the alternative,
Kumkuma
should be kept saturated
with honey and water during the night and this should be taken in the morning, whereby the patient would be
relieved of the trouble (of Mutra-krichchhra).
By
taking
the
principal wine
(viz.,
pasted rice) with
salt,
that prepared from Pishta or powdered Eld, Jiraka and Ndgara
and saturated with the acid juice of pomegranade one would get rid of Mutra-krichchhra. 1 5 16. Half a Prastha measure of water with four times as
much
of milk together with
the drugs of the
Prithak-
Pdrnyddi (Vidari-gandhadi) group and Gokskura*Toote
Chap. LVIII.]
UTTARA-TANTRA.
365
should be kept boiling
A person
suffering
till all the water is evaporated. from an attack of Mutra-ghata due
to the concerted
action
of deranged
Vayu and
Pitta
should use this medicated milk,
when
cooled, with sugar
and honey.
measure of
The dung of an
ass or of a
horse should
he squeezed through a piece of linen and a Kudava

this expressed liquid should
be taken for the

17
cure of an attack of painful urination.
18.
compound made by Deva-ddru, Murvd and Yasktipasting Musta, Abhayd,

measure
of
the
An Aksha
madhu, should be taken with the decoction of Drdkshd.

Abhayd,
Amalaka and Aksha (Vibhitaka) together weighing a Vadara measure should be taken with salt
and water
nation.
for getting
relief
in
cases
of painful
uri-
An Udumbara
measure of Drdkshd should be

morning)
kept saturated in water for the whole night and this

cold
infusion
should be taken (in the
for
getting relief in cases of painful urination.
Kudava
measure of the expressed

relief
juice
of Nidigdhikd or the
Kalka of the same should be taken with honey as a

from the urinary complaints.
taking a
19.
By
Kudava measure
of his troubles.
of the
expressed juice
of Amalaka, a person suffering from uninary complaints
would get
rid
patient should
drink a potion consisting of powdered

of
small Eld, dissolved in the expressed juice
Amalaka
rice-
(and mixed with honey),

of the tender
roots
or
he should take a paste
of
Tala (palm) with cold
washing.
The
expressed juice of
Tmpusha and white
Karkataka should also be prescribed to be taken with

milk
in
the morning.
In the alternative a person should
drugs of the
butter as the
take a potion consisting of milk duly boiled with the Madlatra group saturated with clarified
compound
is
possessed of excellent diuretic
366
properties
(e.

and tends
to
[Chap LVIII.
remove the seminal troubles

20.
g.,
Mutra-rfukra) as well.
A
roots
compound
consisting of Vald, S'vadamshtrd, seeds

(i.e.,
of lotus (Krouncha)*, Tandula

of S'ata-parvan
\,
seeds) of Kokildk$ha\,
Devadaru, Chitraka and stone
of Aksha,
pasted together and dissolved in wine should

.
be taken by a person under the circumstances inasmuch

as
it
removes the defects of urine and eliminates the

21.
effica-
gravels from the bladder.
The
ashes of burnt Pdtald wood, which are

all
cious in relieving
sorts of urinary troubles, should
be
strained seven times in succession (after the
manner of
Kshara preparation) and taken with a small quantity

of
oil.
In a similar
way
a paste oiNala, Ikshu, Dartha,
As'ma-bheda and the seeds of Trapusha and Ervdruka,

should be duly washed in milk and
in
filtered
and taken
one
combination with
clarified butter.
Powders of Tvak,
intelligent
Eld and Tri-katu should be taken by the

in
combination with the alkaline solution of the ashes

Tt'la.
of Pdtald, Yava-kshdra, Pdribhadra and

tives
Lamba24.
made
I
of the powders of the above-mentioned drugs 22
should be separately licked with treacle.
Now
ficial
shall
describe the measures which are bene'defects).
in
Mutra-dosha (urinary
Purgatives
the due
should be administered to
application of
a patient
after
Sneha and Sveda.
Uttara-vastis should
25.
be injected after he has been duly purged.
Sexual intercourse should be refrained from by a person afflicted with a discharge of blood from the
* Dallana explains Kiounchasthi as bones of a
are not inclined to accept this explanation.
Krouncha
bird,
but
wo
t Some explain "Kokilakghaka-tandula" as meaning Kokiliksha and Tandula (rice) which meaning may also be accepted.
t "S'ata-parvan"
may mean
Durba-grass'or bamboo,
Chap. LVIII.]
UTTARA-TANTRA.
excesses,
367
urethra owing to sexual

treated
(e. g.,
and he should be
Uttara-
with
remedies which arc constructive tonics

etc.).
meat-soup, milk, clarified butter, *
vastis
should be applied
into
the urethra,
oil,
under the
the process
circumstances, with cock's lard and with

of applying which has already
cribed.
been elaborately des26-37.
(See Chikitsa, XXVII).
Half a Patra measure of honey, one Patra measure

of clarified
butter churned from milk (Kshira-sarpis)
of sugar,
and equal parts

ing
and powdered
Drdks/td,
Attnagufttd-seed, Ikshuraka
and Pippali, together weigh*

half a Patra) should be
one half part
,J.e.,
half of
stirring
thoroughly
laddie.
mixed by
Pani-tala
be. licked,
the
compound with a
of milk.
(two Tolas) measure of this comfollowed
pound should
by draughts
By
using this Ghrita, a
man
is
relieved of all injurious
and gets rid of distressing and dreadful urinary troubles which cannot otherwise be
principles of his body,
easily cured
blood-purifier,
may
get rid
by any other remedy. It acts as an excellent and, by using it, even a barren woman of her sterility and of all other vaginal and
28.
uterine complaints which usually obstruct or retard con-
ception in females.
Dallana says that K&rtika does not read
this,
in as
much
as this
would increase the number originally mentioned, as

has already been mentioned in Prameha.
is
also because this case

Jejjata,
But according to
this
mentioned here
to
make
the case
more
clear.
to
t Dallana's reading here evidently is 'Kshira-garpishah', but according a variant the reading would be "Kshira-sarpish u" i.e., milk and
butter (taken
together).
clarified
The
latter
reading has the support

lines in
of Chakrapani and
Vrinda who, however, read these
a different
way and
prescribe the drugs in
somewhat
different
proportions.
is,
The
former reading 'Kshira-sarpishah' with the sixth case-ending
however,
more grammatical.
368
THE SUSHRUTA
SAMHITA*.
[Chap. LVIII.
Equal parts of Void, stones of

tnadhu,
Kola-fruits,
Yashti-
Stvadamshtrd (Gokshura),
S'atdvan, Mrindla
(lotus-stem), Kas'eru,
seeds of Ikshuraka, Sahasra-virya
(Durba), Anufumati (Slala-parni),
Payasyd
(Vidari), Kdld,
S'rigd/avinndiFvidmp&mi), Ati-vald and the drugs of the
Vrimhcmiya (K&kolyadi) group should be duly boiled

with four times of water of their combined weight and a
Tula masure of
treacle.
When
it
only a Drona measure
of water would remain,

strained through a piece
should be taken
It
down and
of linen.
should then be
clarified butter.
duly cooked with an Adhaka measure of
The medicated
kept in an
Ghrita (thus
it
prepared) with a Prastha
measure of honey added to
(when cooled) should be
earthen pitcher.
By using
all
this
medicated
29.
Ghrita, one would be cured of
urinary troubles.*
Thus ends the
fifty-eighth chapter in the
Uttara-Tantra of the Sus'ruta
Samhita" which deals with the (symptoms and) treatment of the suppression
of urine (Mutraghata).
Additional Text : Powders
of TugA-kshiri and sugar should be

in
mixed together with honey and licked
an auspicious day according
to
the digesting capacity of the patient and
a draught of milk should then

all
be taken.
By
its
use the patient
would be able to conquer
seminal
troubles if he observes a perfect continence.
One whose semen has been

relief
j
wasted by sexual excesses would get instantaneous
and a man
who
is
possessed of vigour (Ojas) and strength would
be refreshed and
cheerful.
CHAPTER
Now we
of urine
shall discourse
LIX.
with the (symptoms and) medical treatment of the defects
(Mutra-dosha-Pratishedha).*
:
i.
Classification
is
The
into
disease
known
as
Mutropaghrita eight types according as an attack is induced by the deranged action of the bodily Vayu, Pitta and Kapha separately, or is
different
divided
due to the concerted action of

effects
all
of them,
or to the
of an
external blow or hurt (on the locality),

(in
or to
the pressure of the feces incarcerated

i.e.
the
to
intestine),
to the constipation of the
bowels or
the presence of any stone
(As'mari
in the
bladder).
The
eighth
is
the
one due to the presence of gravels
(Sarkara
This disease is one of the in the bladder). most painful and distressing ailments which assail the
human body.
2.
Specific
urine
Symptoms: A
in
scanty
flow
of
coming out
drops and producing an oppressive

in
and bursting pain

is
the scrotum, penis and bladder,
the specific feature of the Viftija type of the disease.

is
The Pittaja type
characterised
(lit.
by the emission of
bloody or high-coloured
dark yellow) and (very) warm urine which produces a burning sensation in the scrotum,
fire,
bladder and penis being burnt by

* Dallana's reading evidently is
as
it
were.
A
for
Mutra-krlchchhra
is
(Strangury),
he says that the variant here

that
in
in
some Mis.
all
Mutfa*dosha.
He
says further
some do not read

chapter
etc.
is
this
chapter at
this
included in the chapters on As'mari,

to
Udavarta,
But, according
on the ground that the matter Mutraghata and him, it must oe read here for treatits
ment's sake as well as on the ground of

other authoritative works.
pilers
being separately treattd in
Madhava, Chakra-pani, Vrinda and other com-
have read
this as
Mutra-krichchhra in a separate chapter as here.
47
370
[Chap. LIX.
sense of weight or heaviness in the scrotum, penis

bladder, an appearance
and
and
of goose-flesh (on the skin)
the emission
of cold, white and glossy (oily) urine, drc
the features which

sensation (in
mark the Kaphaja

etc.),
type,
Burning
painful
the urethra,
shivering (of the body),

colours,
frequent emission
of urine
of varied
micturition and loss of consciousness
are the indications
which point to the

which
is
Sa'nnipa'fcika origin of the disease

3-6.
very hard to cure.
The
urethra,
presence of any nicer in or an injury to the
by any external
object gives rise to an extremely
distressing stricture in the case of
which the characteristic
symptoms of Vata-vasti manifest themselves.

pression
local
The
sup-
of the
feces
leads to the aggravation of the
the
Vayu which, abdomen and

(in
in its turn,
produces a distension of
of urine accompanied
suppression
7-8.
with cramps
the bladder).
Astnarija and darkara'Ja :Mutra-ghata

(obstructed urination) due
(stone) has
to
the
presence of As'mari
(in
been already mentioned
the
Nidana
Sthana).
Stones and gravels are of similar origin and
exhibit similar symptoms.
Now
hear
me
describe the
symptoms which
ot
are the distinguishing traits of a case

in the
Sarkara (gravel or urinary calculus
bladder).
Flakes or particles of deranged and
condensed Kapha
when baked
(dried
?)
aggravated Pitta and severed
by the action of the deranged and in pieces by the deranged

in
bodily VAyu, are called Sarkard (gravels) giving rise to
such symptoms as cardiac troubles (pain

etc.),
the heart,
shivering,
cramps
in the loins, great

fits
diminution of
the digestive
urination.
fire,
fainting
and
painful
and obstructed
subsi-
The
pain, however, subsides with the

(full
dence of the desire for micturition
evacuation of
the bladder), the relief from the pain
continuing until
Chap. LIX.J
tfTTARA-tANTRA.
is
i.
3?I
the orifice of the organ (urethra)
not again obstructed
by the presence of other calculi These are the symptoms which characterise a case of Mutraghata (obstructed
urination)due to the presence of gravels in the bladder.
9.
General Treatment : Now

the
shall describe
mode
of medical
treatment and active therapeutic

in the
agents to
ghata.
be employed
eight cases of Mutrain
Medical measures and remedies mentioned
connection with the treatment of As'mari (stone) should

also* be
sion
employed
in
the present instance in due succesof Sneha,

etc.
commencing
case.
10.
with the application
with
in
proper regard to
the Dosha or Dhosas involved
each
Treatment of Vataja Type :Oil,

fied
clari-
butter
and lard mixed together should be duly

Katitakdri, Bald, S'atdvari, Rdsnd,
cooked with S'va-damshtrd, As'mabheda, Kumbhi (a kind

of moss),
HapusM,
Oil
Varuna, Giri-karnikd
and the
drugs
of the
Viddrialso
gandhddi group.
or clarified butter alone
may
be similarly cooked and prepared with
the above drugs.
The above
or injected
preparations should be internally administered,

into
the intestines after the manner of an
Anuvasana-vasti, or into the urethra as an Uttara-vasti for

giving relief in cases of Va'taja Mutra-krichchhra.
11-12.
Pittaja
and
Kaphaja Types :The

cooked with the
internal use of the clarified butter duly
drugs of the Trina-pancha-mula, Utpalddi, KdkolyddizxiA
Nyagrodhddi groups, would give an instantaneous

in
relief
case
of Pittaja
Mutra-Krichchhra.
The use of
this
Ghrita as an Uttara-vasti would also similarly give
Dallana says that the presence of the particle
"V (meaning also)

in
indicates that the
mode of medical treatment Mutrighata should aUo be applied in this case.
prescribed
cases of
372

the
[Chap. LIX.
relief in a case of
present type.
Any Sneha
duly
cooked with the

used after the
tions.
preceding
of
drugs should be similarly

of the three Vasti-applica-
manner
any
Purging with milk and the expressed juice of Ikshu

is
and of Drdks/id
also beneficial.
Oils
and
Yavagus
duly cooked with the drugs of the Surasddi, Ushakddi,
Mustddi and the Varunddi groups would prove curative

in
a case of
Kaphaja Mutra-krichchhra. 13 14. Tri-dOShaja Type : The foregoing measures

in the
and remedies should be employed

type
of Mutra-krichchhra of the
Tri-doshaja
according to the nature and
intensity
predominance of the Doshas involved.

of Phalgu
Pulverised
compound
(Kakodumbara), Vristhe
chika (white Punarnava),

iron) taken
Darbka and As'ma-sdra (dead

(wine),
with water, potions of Surd
expressed juice of Ikshu, and the decoction
of
Darbha
15.
would
relieve pain in a case of Mutra-krichchhra.
Medicines and medicinal

the chapter on
the
a
measures
mentioned
in
treatment of Sadyo-vrana should

case
be employed
in
of stricture due
to
any hurt
(Abhighita) to the
guents,
urethra.
Vayu-subduing remedies and powders

should be
should be constantly used, and baths, fomentations, unapplications of Vasti

in
employed
case of Purishaja
Mutra-krichchhra.
{vis. As'mari-ja
The treatment
of the last
two kinds
and
Sarkara-ja) has already been described.
16-17.
Thus ends the

dosha.
fifty-ninth chapter of the
Uttara-Tantra
in
the Sus'rula
Samhitft which deals with the (symptoms and) medical treatment of Mutra-
Here ends the Kaya-Chikits^.
CHAPTER
Now we
disease
shall -discourse
LX.

the
influences
with the (symptoms and) medical treatment of
brought on through super-human*

i.
(Ama'nusha-Pratishedha).
Now we
put forward
dilate
in
upon the dictum which has been

first
the
portion
of the present work,
and which
ulcers
is
to the effect that
a patient suffering from

evil
in-
should
cast
always be protected from the
fluences
by
night-rangers
(i. e.
ghost,
monsters,
and malignant spirits, etc.). Whoever produces superhuman character in a man by making him exhibit uncommon fortitude and marked irrelevancy in his dealings and the power to know the private and future
events
is
called
a.
Graha.
2-3.
Causes of Influence by a Graha :

Innumerable are the Grahas and their tutelary
divinities
who roam about

of their innate
in the
world in quest of offerings or out
tendency for mischief and cruelty and
choose their victims from

in
among
persons
who
are impure
otherwise.
body, mind and acts
be they ulcerated or
These
figures
Grahas though possessed of various shapes and are mainly classified under eight groups or
families.
The Devas
(deities)
and their enemies
(viz.
the
Asuras,\ Gandharvas, Yakshas, Pitris (manes), Bhujangas,

(Serpent-dieties),
Rakshasas (monsters)
and Pis'achas
4-5.
:
(filthy goblins) are the eight classes
of Grahas.
Indications of attack by Grahas -
person possessed by a
*
Deva
'.
(divine)
Graha
human.
is
cleanly,
It includes
Amanusba lit. non-manusha,
e.
other than
tbe deities,
deities.
demons, ghosts, monsters and the manes and even the serpent-
$H
*HE SUSHRUTA SAMHITA.

little sleep.
[Chap.
IX
contented, vigorous and with
He
speaks in
good and pure Sanskrit, betrays a strong and decided liking for flowers and perfumes, grants boons (after the
fashion
of
a divine being) to
stares with a
all
and
is
devoted to
Brahmanas, and
fixed gaze (in his eyes).
person labouring under the malignant influence

(devil)
of
ill
an Asura Graha
of the gods,
perspires copiously, speaks
Brahmanas
eyes,
and
has no
preceptors, knits
fear,
his
brow with arched

with
all
becomes
satisfied
kinds of food or drink and exhibits vicious
propensities.
person
under the
influence
of
Gandharva Graha moves about happily along lovely river-banks, or in lovely forest. Always cleanly in body
and
acts,
he shows fondness for songs, flowers and sweet

merrily
scent's,
laughs
and croons sweet songs and

eyes,
partiality
for
dances.
thin
for
Copper-coloured
wearing
red garments, vigour and fortitude, repeated offers
granting
boons
R.
or gifts
in
to
persons,
taciternity,
restiveness (D.
fastness
walking)
and
gravity
of the
mind are the symptoms which are manifested in a person coming under the influence of a Yaksha
6-9.
Graha.
Graha becomes calm and quiet as well as reverent towards the

person similarly affected by a Pitri
manes.
He
offers oblations
on AWtf-grass and libations

with the
of water for their satisfaction,
upper garment
left
worn
in
a fashion so as to
fall
under his
exhibits a liking for cooked

treacle
meat as
well as
arm and sesamum,

his
and Payasa.
person struck by the malignant
influence of a
Bhujanga Graha, sometimes moves on
breast along the ground like a serpent, always licks
the
corners of his lips with the tip of his tongue,
becomes
drowsy (D. R.
irritable)
and shows a marked predilection
for treacle, honey, milk
and Payasa.
10-1
1.
Chap. LX.]
UTTARA-TANTRA.
for flesh,
375
A fondness
ardent
spirit,
blood
blank shamelessness,
irritability,
and various kind9 of extreme cruelty,

strength,
courageousness,
stirring out
in
extraordinary
the
night and
an entire disregard of
cleanliness
are
the traits which
mark
person attack-
ed
of
by
a Rsfeshasa Graha.
Haughtiness, emaciation
garrulousness,
the |frame, roughness of behaviour,

smell
fetid
from the
body,
extreme
uncleanliness
cold
and
(D.
restiveness,
voracious
eating,
fondness for
water and lonely places, stirring abroad in the night

R. fondness for walking
about the out-skirts of
forest)
and roaming about weeping and

pursuits (D. R. anxious
engaged
in
vicious
looks)
are the features
which show that a person has been possessed by a

PiB'icha Graha.
12-13.
:
If a person possessed by a Graha, has swollen eyes, quick pace, foam at the mouth which he licks himself, drowsiness, staggering gait which sometimes compels him to fall down on the ground or if he is possessed by a Graha after his fall from a
hill,
if
Prognosis
an elephant, a tree or such other high place, or

14.
he be old,* he should be regarded as incurable.
Times Of possession : A
strikes
i. e.
Deva
;
Graha
possesses
man
at
full
moon
an Asura
Graha at the meeting of day and night i. e. in the a Gandharva generally morning and evening twilights on the eighth and a Yaksha on the first day of A Pitri Graha possesses a man on the fortnights. and a Sarpa Graha (serpentthe new moon day
; ;
devil) enters
day of the new or full moon. Rakshasa Graha possesses a man at night and a
on the
fifth
* In place of
incurable)
"qrHtT
it
*&' Madhava reads Hf^m^*
i.
e.
Cit is
also
when
has continued for thirteen yeara,
376
[Chap. LX.
pydcha Graha on the fourteenth day of the fortnights. A Graha imperceptibly enters into the body of the patient in the same way as an image imperceptibly
enters
into (the surface of ) a
mirror,
as heat or cold
penetrates into
the
body of an organic being and as

the crystal
lens
the rays of the sun are collected in
known as
the Surja-kanta
1
gem and
as soul enters the
body unseen.
charities
5-1 6.
Austere penances and vows, self-control, truthfulness,
and
religious
practices as well
as
the eight
the
qualities* are either wholly
or
partially present in
Grahas according to the degree of their respective power.
These
spiritual bodies never
come
in
contact with,
nor
do they themselves strike

teries of
human
beings.
Those who
mys-
hold contrary opinioh, must be ignorant of the
demonology.
It is
the thousands and hundreds

of millions of the followers
of thousands and hundreds
of the Grahas,
who
are fierce-looking
stir
and fond of
flesh
and blood, and who

the
abroad
in the night
and possess
men on earth. 17. Of these malignant
spirits
(Grahas) those
who
are
associated with
the gods
should
be regarded
as of
celestial essence in virtue of their
partaking of a tinge of
divine virtues.
Those who are known as Deva Grahas and are cleanly should be worshipped and homaged and prayed like the other gods of our Pantheon.
The Grahas should be

virtues
credited
with
those
powers,
and
characteristics
which are the attributes of

are
:
The
eight qualities referred to
(1)
Animan
(2)
or the
superhuman
power of becoming as small as an atom

becoming excessively
light at will.
(5)
(3)
at will.
Laghiman
power of
(4) Pra-
Vyapti expansiveness.
kasya irrisestible
will.
will.
Mahiman power
(7)
of increasing the size at

(8)
(6) Is'itvagreatness.
Vns'ilvajself-control and
Kamava.
skyitasuppression of passion.
Chap. LX.J
UTTARA-TANTRA.
377
Tbey are the issues of Nairiti's daughters and their living has been fixed as such by the various Ganas (or groups of gods and demi-gods)
their respective masters.
as they are always adverse to truthfulness,
i. e.
the true
performance of the dictates of the
>is'tra.
Those that
of the
roam about
celestial
in quest of evil
and mischief
divine
in spite
nature of their
own
essence and tem(spirits).
perament have been termed

that branch of medical
Bhutas
Hence
which treats of the therapeutics of diseases which originate from the influences of Bhutas (or Grahas) is called the Bhutascience
Vidy*
18-20.
General Religious Treatment :Japas

(mental repetition of a Mantra sacred to any deity),
Homas
(offering
of oblation9
to
the gods) and
other
religious rites in accordance with the proper rules should
be undertaken by a careful physician for their propitiaOfferings of garlands of red flowers with red tion. scents (such as red Sandal paste, Kumkuma, etc.), seeds
(such as mustard, barley, etc.\ honey, clarified butter
and
all sorts
of victuals are the articles required general21.
ly for (propitiation of) all classes (of Grahas):
Specific
them according
Religious
to their
Treatment :
Offerings
Clothes, wine, blood, flesh or milk should be offered to

respective likings*.
to the respective Grahas should be
made on
the
day
corresponding to that in which they generally strike

their victims.
Homas
in
the
fire
with the offerings of
Kus'a, Svastika, cakes (Pupa), clarified butter, umbrella
and Payasa (porridge) should be made to the Deva To the Asura (celestial) Grahas in divine temples.
Grahas the offering
should
the
made
likings"
in
is
the yard
* This S'loka corresponding to "cloth
only a valiant
according to Pallana.
He dot*
not seem to read this S'loka.
48
378
(Chatwara),
evening)
;

etc.
[Chap.
LX.
of a house at the proper time {vis. at
offerings to the
Gandharva Grahas should

hi
be
made with wine and
the soup of Jdngala animals

;
the midst of a gathering
while those to the
Yaksha
Grahas should
of boiled
be. made inside
Mdsha
pulse
a house with the cakes (Kulmasha), blood, wine, etc.
The
ings
Pitri Grahas should be propitiated with the offer-
made on Kus'a
grass together with
Mddhavi and
;
and Kunda flowers on the banks of a

the
river
offerings to
B&shasa?
should be dedicated
crossing
in
dreadful
lonely
to the
in
forests or at the
of two roads, while

flesh should
Pidachas cooked or uncooked
be offered
a lonely chamber.
22.
Medical Treatment : In
ent Mantras enjoined to
(in
case the
preval-
be recited on such occasions

ineffective
works on Demonology) are found to be

measures, should
the following medical
be employed.
Skin and hairs of a goat, a bear, a Salyaka (porcupine),

or of an owl pasted togother with
Hingu and
goat's urine
and made, into incense sticks, should be burnt before the patient, who would be fumigated with the fumes
emitted therefrom.
The
it.
attack even of a violent Graha
would readily yield to

duly soaked
in
pippali, Pippali-roots, Tti-katu,
The drugs known as GajaAmalaka and Sarshapa,
the biles of a lizard, mungoose, cat
and bear should be employed as unguents, snuffs and wash by an experienced physician. Dungs of an as,
horse, mule, owl, camel*, dog, jackal, vulture,
crow and
boar pasted together with the urine of a she-goat should
oil
be duly cooked with an adequate quantity of oil. thus prepared would be beneficial if used (as
23-25.
which many mean a camel
The
snuff,
etc) in the preceding manner.

*
The word
in the text is 'Karabha'
01
an
elephant.
Dallana explicitly explains the word as a camel.
Chap. LX.]
UTTARA-TANTRA.
3^9
S'irisAa-se&i,
La/una, S'mthi, Siddhdrthaka, Vacha,

be
the
Manjis/ithd,
Rajani and Krishna should
pasted
shade.
together with goat's urine
and dried
in
Vartis (sticks) prepared with this should be applied with
the bile (of a
cow) along the eye-lids as an Anjana.

Tri-katu, roots
Vartis prepared with Naktamdla-hxat,

of S'yondka and of Vilva as well as the
two kinds of
a similar way.
Haridrd should be used as an Anjana

Saindhava, Katuka, Hingu,
bile of a fish, should
in cases
in
Vayasthd (Guduchi) and

with the
Vachd, pasted together with goat's urine and
of attacks
be similarly used as an Anjana by the Grahas which would not

Las'una, Hingu, Siddkdr2?//:fo/'z
otherwise yield.
26-28.
Matured
thaka,
clarified butter,
Vacha, Golomi, Ajalomi,
(Jatamdmsi),
Jatd (Gandha-mamsi), Kukkuti (a kind of bulb), Sarpagandhd, Kdna, (Kshira-kakoli),
Vishdnikd (Madhurika),
Rishya-prokta, Vayasthd, S'ringi, Mohana-Valli, (Vatapatrika), Arka-xoote, Tri-katu,
Latd (Priyangu), Anjana

and other
evil spirits,
(Rasanjana\ Srotonjana, Naipdli, Haritdla

articles
which have the efficacy of exorcising

cats,
as well as the dungs, hairs, skin, Vasa, urine, blood,

nails, etc. of lions, tigers, bears,
bile
elephants,
horses
etc.,
cows, dogs, Salyakas,
lizards,
camels, mongooses,
oil
should be used in the preparation of

butter which should
snuffing
and
clarified
be used internally as well as in

Pills
and as unguents.
made
of the above
their
drugs should be used
in sprinkling (wash) and
powdered compound
in dusting (the
body of the
patient).
paste prepared with the above drugs should be
used
oil,
as plasters.
The due and proper

thus prepared would,
all sorts
application of the
in
Ghrita,
etc.
very short time,

29.
surely cures
of mental disorders.
articles
Unholy and improper
should not be em-
$80
ployed
in

a case due to the
spirit).
{Chap. L5C.
influence
of any
Deva
measure should be adopted in a case of possession by a Graha other than that due to the influence of a Pis'acha Graha in as much as the mighty Grahas, if offended, might kill both the patient and the physician for the act. A physician,
hostile
Graha (divine
No
treating such a
rules laid
case with discretion

in
according to the
as the Hitahita
dawn
30-31.
the chapter
known
(Ch.
XX,
Sutra-Sthana)
may
acquire both
fame and
wealth.
Thus ends the
sixtieth chapter of the
Ultara-Tantra in the Sus'ruta-
Samhiti which deals with the (symptoms and) treatment of the disease brought on through superhuman influences.
CHAPTER LXL
Now we
smara
shall discourse
with the (symptoms and) medical treatment of Apa-
(Apasmsfra-Pratishedha). i. Derivative Significance : The

(the prefix)
word
"Smriti" signifies the faculty of past sense-perceptions
and
"Apa" denotes the

Hence,
privation (of
object or attribute).
this disease (in
any which an inis
dividual loses the faculty of past
cognitions)
2.
termed
Apasmrfra (Epilepsy) and
it
turns fatal.
Causes
Excessive,
inadequate
and improper
as to their
attention to the objects of the sense as well

actions, partaking of filthy,
impure, incompatible and
uncongenial articles of fare and regimen of conduct,

repression of
any natural urging of the body

in
or aggra-
vation of the Rajas and
Tamas (nescience), or going in

etc.,
unto a
fancies,
woman
fright,
her menses, or indulgence in amorous

leads to an
anxiety, anger, or grief,
aggravation of the bodily Doshas which in their turn

affect the
mind (Chetas) very Apasmara. 3.
greatly
and give
rise
to
The sense-carrying Srotas (channels) of the body overwhelmed by the concerted action of the deranged
Doshas bring
in
a predominance of Rajas and
Tamas
(Nescience) causing the patient unconscious and forgetful

of all past memories.
his hands
He
writhes in agony and throws
and
legs in
convulsive jerks
with contracted
eyes (D. R. tongue) and eye-brows.
He
gnashes his teeth,

the ground
short
is
with foams at the mouth,

while after.
etc.,
and
falls to
with open eyes, the consciousness returning a
The
disease
is
called
Apasmara which
3S2
classified
THE SUSHRUTA SAMHItX

into four distinct
tChap. LXI.
typesvis., Vataja,
4.
Pittaja,
Kaphaja and Sannipataja.
Premonitory Symptoms : The

sense as
if
throbi.e.
bing of the heart, emptiness or lightness (of the chest

the external world
is
vanishing
stupid
away
fastly),
perspiration,
pensiveness, fainting,
are
appearance
and
sleeplessness
the symptoms, which are usually

5.
found to usher in an attack (of Apasmara).
Symptoms
types In
:
of VsCtaJa
and Pittaja
the Va'taja type of
fancies that a dark supernatural being
Apasmara the patient is coming after

*. e.
him
to
seize
his
person and
is
frightened and faints in
consequence with shivering grinding of the teeth

lock-jaw, laboured breathing
and foaming
in
at the
mouth.
Fainting
is
excited
by
terror of being
seized
by a
yellow and
fierce-looking
being
the Pittaja type
which
is
further
marked by
6
thirst, increased
heat of the
body, perspiration, fainting, mild tremor of the limbs
and
restlessness.
7.
Kaphaja and Sannipataja Types :

Where
the patient
is
excited by a fancied dread as

is
if
supernatural being of white colour
coming to appre-
hend him,
it
is
a case of the
moreover
characterised
as
shivering,
Kaphaja type which is by the. exhibition of such

nausea,
sleepiness,
falling
symptoms
prostrat e
on the ground and
vomiting of mucus.
specific
Pain
in the heart, thirst

teristics
and nausea are the

indistinct
charac-
of the three types respectively.
But delirious
talk
and the making of
and moaning sounds

specific features of
all
are present in all the types,
The
8
the three foregoing types manifest themselves in concert

in a case of
Sannipa'tika type.
10.
DiSCUSSlon on its Cause :The
sudden
appearance of the disease without any apparent cause
Chap. LXI.]
UTTARA-TANTRA.
its
383
and also
after
sudden and spontaneous
disappearance
a short while without any apparent treatment,

not due to any (aggravation of the) Dosha.
have induced several medical authorities to hold that
Apasmara
Several
is
authorities,
on
the
contrary,
have described,
subject,
on the authority of other works on the

as well as the concomitant
its
the
gradual aggravation of the (suddenly) deranged Doshas
symptoms
of the disease
in
various phases with the spontaneous and speedy nature

its
of
abatement (though only temporary). Hence

in
it
may
when
be presumed that as seeds sprout

the rains
autumn
only,
make
the ground ready to receive them, the
shortness of time being counted as no factor poten t enough

to obstruct
the process (of sprouting), so the deranged Doshas of the body though gradually aggravated bring
on, as a matter of fact, an attack of
Apasmara with
all its
concomitant symptoms, only under conditions favourable to

its
appearance which may, however, be short and

its
transitory in
is
duration.
Hence
this dreadful
Apasmara
and
certainly a disease of idiopathic origin,
it.
General Treatment :Medicinal agents

(Unmada) may be as well employed disease. The use of matured clarified
ternally
in
remedies to be mentioned in connection with insanity

the present
butter both in-
and as unguents is recommended. Medicinal measures and compounds mentioned under the head
the present disease.
of possession by the Grahas are also specially beneficial

in
Oil duly cooked with S'igru,
Kinna (sediment of wine) and with the expressed juice of Nimda-baivks and with cow's urine weiging four times as much, should be employed as
Katvattga,
^Syonaka),
unguents. Draughts and embrocations of

(separately) with
oil
duly cooked
the biles of a
lizard, a
mongoose, an
class,
elephant (or snake), a deer of the Prishata
a bear
384
[Chap.
LXL
(Siro-virechana) as well as strong emetics
and a cow, are recommended. Strong medicinal errhines and purgatives god and Rudra should be administered. The divine #
the host of his followers should be regularly worshipped
and propitiated every day.
12
15.
Specific
Treatment : Clarified butter duly

1
cooked with goat's urine and with the decoction of

Kulattha, Yava, Kola, S'anaseeds, Palankashd (Guggulu
,
Jatdmdtnsi, Das'a-mula and Pathyd
may
be given with
advantage in a case of the Vitaja type (of Apasmara).

Clarified
butter duly cooked with the decoction of the

first (i.e.
drugs of the
Vidari-gandhadi) group and with

if
the drugs of Kdkolyddi group (as Kalka)

tered with milk,
adminisin
honey and sugar would be
beneficial
a case of the Pittaja type.
The
use of (the medicated)
Ghrita duly cooked with Kiislmd, Vachd and the drugs

of the Mustakddi group (as Kalka) and with the decoction of the drugs of the
Aragvadhddi group* and with

is
the five officinal kinds of animal urine

in cases of
recommended
16
the Kaphaja type of Apasmara.
18.
SlddhaYthaka Ghrita : Clarified

duly cooked with (the Kalka
Kusftt/ia,
of;
butter
Sura-druma,
Vacha,
Siddhdrtha, Vyoslta, Hingu, Manjishthd, the

of
two kinds
Aparajita,
Rajani,
Samangd;
Tri-phald,
Ambuda
(Musta), Karanja-sccds, S'irish f-seeds, Giri-karttd (white
and Hutds'ana (Chitraka) and with four times

is
as
much
of cow's urine
called
Siddharthaka Ghrita,
which proves curative

the intestines),
in cases of poisoning,
worms
(in
Kushtha,
asthma,
derangements of
insanity
Kapha, Vishama-Jvara, Apasmara. 19.
Bhuta-graha,
and
* According to Dallana, the Ghrita should be cooked with the decoction of Krishna and Vacha,
while the drugs of ths Aragvadhddi group
should be used as Kalka.
Chap.
LXL]
UTTARA-TANTRA.
385
butter
Pancha-gavya Ghrita :Clarified

(Aragvadha), S'reyasi
duly cooked with the Kalka of Da/a-mula, barks of Indra-vtiksAa* Murvd, B/idrgif, Tri-p/iald, Sampdka,
mdrga and
Pilu,
Apdand with the decoction of Bhu-nimba,

(Gaja-pippali), Sapta-parni,
Trivrit,
Putika (Karanja), Vyosha, CAitraka,
PdtAd, the
two kinds of Haridrd, the two kinds of Sdrtvd, Pushkara-roots Katuka, Madayanti (Mallika), Ugrd (Vacha), Ni'ini and Vidanga, and with the milk, curd (Dadhi), urine and the expressed liquid of dung of a cow is
called
Pancha-gavya Ghrita.
It
proves curative in
all
forms of Apasmara, Bhuta-graha, Chaturthaka

tian) fever, Phthisis,
(quar-
Asthma and
Insanity.
20.
General Treatment :Vastis

applied in the Vataja, purgatives, in the
emetics, in the
should
be
Pittaja and Kaphaja types of Apasmara. 21. Milk should be duly cooked with Bhdrgi and Payasa (porridge) should be prepared by cooking grains of >ali
rice
with this milk.
This preparation should be given
to a
boar kept fasting for three days.
When
it
is
assured that the food taken has acquired

(i.e.
a sweet taste
that the process of digestion has begun in the stomach
of the boar) and
when the symptoms of poisoning come
to be exhibited in the boar, the contents should be taken
out (of the boar's stomach)
powdered.
and (should be dried and) Three parts of this powder and one part of
Kinva (the sediment of wine) should be mixed together and made to ferment in a cleansed earthen pitcher with
the addition of the cooled decoction of Bhdrgi.
The wine
to
(Sura) thus prepared should be given in proper doses

*
By
the term 'Indra-vriksha-twak'
some mean (barks
of)
Kutaja and
Twak
t
(cinnamon).
BhauiPallana
explains
it
as
Goshthodumbara the wild
fig.
49
386
THE SUSRUTA SAMHITA

it
[Chap. LXI.
the patient as soon as

taste
would acquire
its
(particular)
and aroma. Venesection (in the forehead) as recommended before (S>arira-sth3na, Chap. VIII, 25-26) should be resorted to and prophylactic and auspicious
articles
should be used (by the patient).

sixty-first
23-23.
Tbut end* the
chapter in the Uttara-Tantra of the Stufaita
Samhita which deals with the (symptoms and) treatment of Apasmara.
CHAPTER
Now we
shall discourse
LXII.
with the (symptoms and) medical treatmentlof Insanity
(UnmsCda-Pratishedha). Derivation In as much

:
i.
as (in this disease)
the deranged bodily Dosha3 traversing the upper part of
the body affect the up-coursing nerves and produce thereby a distracting state of the mind, it is called Unnutda 2. (Insanity), and it is a disease of the Manas (mind).
Classification :This
five different
disease
is
divided into
types according to the nature of their
origin viz., the three types
due
to the
several actions
of the three deranged and aggravated
Doshas, the one
and the one due to There is a sixth kind grief, etc. (real or imaginary). also, w'a, that due to the effects of poison, which should be treated according to the nature and intensity of the deranged Dosha or Doshas lying at the root and which in its early stage, if not abnormally aggravated, goes by the name of Mada. 3.
due to
their
concerted
actions
Premonitory Symptoms : Fits

ears,
of
un-
consciousness, agitated state of the mind, ringing of the
emaciation of
the
body,
excessive
energy
of
action aversion to food, eating filthy things in dreams,
perturbation
ie.
palpitation (of the heart) due to
Vayu
and
vertigo or giddiness are the
symptoms
in
a patient
which forebode
insanity.
4.
a speedy
and
impending attack of
Specific
Symptoms
:
of
Vtftaja,
Pittaja
Shaggy appearance, use of and Kaphaja types harsh language, appearance of a number of Dhamanis
388
THE SUSRUTA SAMHITA
[Chap. LXII.
(nerves) over the body, laboured breathing (D. R. experi-
ence of excessive coldness), emaciation of the body and

throbbing of the joints of the limbs are the specific fea*
tures of a case of the Vfftaja type (of
Unmada) and
the
patient in such a case reads clapping his hands, or sings
while dancing, or shouts or wanders about.

thirst, perspiration,
Excessive
burning sensation, voracious eating,
insomnia, desire for shade, cold, wind and walks on the
banks
(of rivers or tanks),
fits
of anger, fancying
in the
fire in
cold water and fancied
sight of stars
heavens
in
the day are the
symptoms which
in
characterise
a case of
lassi-
the Fittaja type.
Vomiting, dulness of appetite,

the limbs, aversion
to
tude or gone-feeling
food,
fondness for sexual propulsion and loveliness, stupidity,
somnolence, reservedness in speech, eating

for
little,
fondness
warm
things and
aggravation of the disease in the
night
mark a
case of the
Kaphaja type
of insanity. 5-7.
Trl-doshaja Type : A
insanity exhibits
all
case of Sa'nnipa'tika to the
the
symptoms belonging
three aforesaid types origined

vis.,
from the three Doshas,
Vata, Pitta and
Kapha.
case in
which the
in
specific
full
symptoms of the disease are
manifested
should be deemed as incurable.
Several
authorities,
however, hold the Sannipatika type to be sometimes

curable.
8.
okaJa and Vfshaja types : A

frightened
person
own enemy or any such person, or suffering from any distracted state of the mind owing to a loss of wealth, or from any
by a
thief,
a king's officers or his
grief (ooka) or bereavement
or from
any disappointdis-
ed love
traction
would
likely
have an attack of mental

such cases
he
(insanity).
In
would
uncon-
sciously talk
his
incoherently about subjects uppermost in

in a stupid fashion or
mind or would sing
laugh or
Chap. LXII.]
.UTTARA-TANTRA.
are the
389
insanity).
weep.
(These
symptoms of Sokaja
of
Redness of the eyes, dulness of complexion and of the

perceptive
faculties,
diminution
bodily
strength,
extreme dejection, blush on face and

ness are the
loss of conscious-
symptoms which mark a

9-10.
case
of insanity
due to the
effects of poisoning.
General Treatment : A
from insanity should be
first
patient
suffering
treated
with Sneha and
Sveda and then subjected to a course of emetics, purgatives
and head-purgatives
(Siro-Virechana).
Powders
for
of various sorts of (drugs
used
in)
oil
Avapida snuffing
and employed
should be mixed with
mustard
the purpose (of snuffing).
Fumigation with burnt putrid

are also effica-
beef or dog's
flesh
should be constantly employed.

oil
Snuffing and unguents of mustard

cious in
all
cases.
The
patient
should be surprised
with wonderful sights and the news of the death of any

of his dear ones should be related to him.
He
should
be constantly frightened with sights of fierce-looking
men, well-trained elephants or
non-venomous snakes.
The
patient
should be threatened with being fastened
with ropes or being flogged, or frightened with bundles

of blazing hay, after being fastened, while asleep.
He
should also be pierced in his body with pointed instruments, avoiding, however, the vulnerable parts*, or he
should be
made
it.
to reside constantly in a dry well with a
cover over
Barley gruel, powders of parched barley
mixed with water alone should be given to him on every third day by an intelligent physician. The diet of the # patient should consist also of palatable and appetising
articles.
*
11.
patient should likewise be threatened
Additional Text :The
with being foiced into a burning hut
He
should be also kept immersed
in water or threatened with the fall of a thunder bolt.
390
THE SUSRUTA SAMHITA
[Chap. LXII.
HIaha'-Kalya'na Ghrlta
'.Clarified
butter
duly cooked with twice as much of milk and with Vidanga, Trifhald, Musta, Manjishthd, Dddima, Utpakt,
S'ydmd, Ela-vdlukd, Eld,

parni), Sdrivd,
(redi
C/iaitdana,
Deva-ddru,
Barhishtha (Balaka), Haridrd, Kushtha, Parnini Sala-
Harenukd, Trivrit,
Dattti,
Vacha,
Tdlisa-
patra, Ndga-kes'ara and
Mdlati flowers as Kalka(is called
Kalya'na Ghrita* and) proves curative in cases of Gulma, cough, fever, asthma, phthisis and insanity. Clarified
butter duly cooked with four times as
much
it
of milk
and with the aforesaid drugs

after-throw
as
Kalka and with the
drugs of the Kdkolyddi group added to

is
by way of an
called Maha'-kalya'Da Ghrita.
The range
of
its
therapeutic application
includes (such ailments as)
Apasmara, (attack by) Graha, consumption, impotency,

emaciation and
ed above.
12.
sterility as well as
the diseases mention-
Phala Ghrita :Clarified

with
Bdlaha,
butter duly
cooked
Eld,
Kushtha,
Manjishthd,
Katuka,
Haridrd,
Vacha,
Tri-phald,
Hingu,
As'vagandhd,
Deva-ddru,
Yamdni,
Kdkoli,
,
Medd,
Yashti-inadhu.
and
be
Padmak 1
beneficial.
as Kalka)
and with four times as much of

as
also
milk and with sugar

It
an
after-throw
would
should
be presented for infants
struck
by malignant
stars as well as for

intellect.
male adults of
is
evil propensities
and short
This
known
as
Phala-Ghrita* and removes barrenness of
women
13.
2?f/m/(Manduka-parni), AinJri, Vidanga,
Tri-katu,
Hingu, Surd (Deva-daru\ Jatd (Jata-mamsi), Vishaghni

(Haridra), Las'un.% (garlic),
Rdsnd,
Vis'alyd (Guduchi),
(a
Surasd,
Vacha, JyoHshmati,
Ndga-vinnd
kind
of
According to Dallana the mentions of these two
recipes
(Kalyana
Ghrita and Phala Grita) are interpolations.
Chap. LXII.]
UTTARA-TANTRA.
391
Indra-varuni),
Anantd, Abhayd and Sourdshtri taken
in equal parts should
be pounded together and made

addition of elephant's urine.
It
into a paste with
the
should then be dried in the shade, and
Vartis should
-
be prepared
thereof.
These should be used by

an
14.
an
intelligent person as
Anjana, unguent,
snuff,
fumi*
gation and Avapida.
Blood-letting from the Uras (chest),
Apanga
(outer
corner of the
resorted to.
eye)
and Lalata (forehead) should be

in connec-
Measures and drugs mentioned

of
tion with the treatment
Apasmara and Graha-roga

Oily
may be
likewise
employed
in the present instance.
purgatives (Sneha-vasti) should be administered after

the subsidence of the deranged Dosha.
1
5.
In a case of the filth kind

the cause of grief should be
[viz,
Sokaja) of insanity
In
all
first
removed.
forms
of insanity the restoration of the serenity of
mind should
of these
be
first
attempted.
Mild and gentle forms

resorted
to
in
remedies should
be
a case of
Mada
a case
(preliminary stage of
insanity).
Mild
anti-venomous
in
(anti-toxin) measures should
be resorted to
(of insanity due to the effects of poison.
17-18.
Thus ends
the sixty-second
chapter in the
Uttara-Tantra of
'
the
Sus'rula Sarahita
Insanity.
which deals with the (symptoms and) treatment of
Here ends the Bhuta-vldya-Tantra.
CHAPTER
Now we
Rasas
shall discourse
LXIII.
with the different combinations of the (six) different
(Rasa-bheda-vlkalpa-Adhyaya).
fifteen
i.
The
different
combinations of the Doshas
already spoken of (in Chapter
XXI, Sutra-Sthana)
are
meant only
a time).
for the sixty-three different
combinations of
all
the (six) Rasas (taken one, two, three, four, five or
at
They
(viz.thc different Doshas)
may
be manifest
separately (Avidagdha) or combinedly (Vidagdha) with
one another and the number of their combinations should be taken to be sixty-three pari passu with the sixtythree different combinations of the (six) different Rasas.
In other words, the combinations of the Doshas with one another already spoken of should be considered by
an intelligent person to be sixty-three

fifteen
in
all
(and not
Sutra-
only,
as spoken
3.
of in
Chapter XXI,
Sthana).
EnumerationTaken
The Madhura Rasa
the other five Rasas) taken
two
at
time:
in the
(sweet taste)
coming
first
order of enumeration has got five combinations (with
two at a time.
got four
Similarly
Amla Rasa
(acid taste) has
combinations and
Lavana Rasa (saline taste) has got three. Katuka Rasa (pungent taste) has got two and Tikta Rasa (bitter taste) has got only one with Kasaya Rasa (astringent taste). The different combinations taken two at a time
are thus fifteen in
(1)
all.
They
are as follows
Sweet and
acid, (2)
sweet and saline, (3) sweet
and pungent
astringent
sweet and bitter and (5) sweet and these are the five combinations of Madhura
(4)
Chap. LXIII.]
UTTRA-T ANTRA.
(i)
393
(sweet) Rasa,
(3)
Acid and
saline, (2)
Acid and pungent
Acid and
the
four
bitter,
and
(4)
are
(1)
combinations
Acid and astringent these Rasa. of Amla (acid)

bitter,
Saline and pungent, (2) Saline and
and
(3)
Saline and astringent

of
(2)
these are the three combinations

(l)
Lavana
(saline)
Rasa,
Pungent and
bitter,
and
Fungent and astringent
these are the
tions of
Katuka (pungent) Rasa.

different
two combinaBitter and pungent is
the only combination of Tilcta (bitter) Rasa.

fifteen
Thus the
two
at a time
combinations (of the six Rases) taken have been enumerated. Now we shall
4.
speak of their combinations taken three at a time.
Taken three at a time

Rasa
time).
(,s*veet
:The Madhura
has got ten
taste)
coming
first
in the list
combinations (with the other Rasas taken three at a

Similarly
Amla Rasa
(acid taste)
has got six
Lavana Rasa (saline taste) has got half that number and Katuka Rasa (pungent taste) has got only e. three
i.
;
one combination
acid
They
(2)
arc as
follows:
(1)
(3)
Sweet, Sweet,
and acid and
saline,
Sweet, acid and pungent,
bitter, (4)
saline
(7)
and
bitter,
Sweet, acid and astringent, (5) Sweet, pungent, (6) Sweet, saline and bitter, Sweet,
Sweet,
saline
(9)
and
(10)
and astringent, (8) Sweet, pungent pungent and astringent, and
astringent these are the ten combinations of the Rasas taken three at a time and
Sweet, bitter and
beginning with Madhura (sweet) Rasa.
(1)
Acid, saline
and pungent,(2) Acid, salin; and and astringent,

pungent
(4) Acid,
bitter, (3)
Acid, saline
pungent and
(6)
bitter, (5)
Acid,
and astringent, and astringent these arc the six

three at a
taste.
Acid,
bitter
and
combinations
(taken
(acid)
time
Saline,
and)
beginning with
Amla
(2)
(1)
pungent
and
(3)
bitter,
Saline,
pungent and astringent,
and
Saline,
bitter,
and
50

394
THE SUS1IRUTA
the
SAMIIItX.
[Chap. LXIII.
astringent these are

three at
taste, (i)
three combinations (taken.

with
time)
beginning
bitter
Lavana
astringent
(saline)
is
Pungent,
and
the
only one combination (taken three at a time and) beginning with

different
Katuka (puugent)
explained.
taste.
Thus the twenty

shall
5.
combinations (of the six Rasas) taken three at
time have been
Now we
speak of
their combinations taken four at a time.
Taken four at a time : The

(sweet)
Madhura
of four
four,
Rasa has got ten

Similarly
(saline/
different combinations
\acid)
at a time.
Amla
Rasa
Rasa has got

one.
and Lavana
follows
only
They
are as
:(r)
Sweet, acid, saline and pungent, '2) Sweet,

bitter, (3)
acid, saline
and
Sweet, acid, saline and astrinbittci

(5,)
gent, (4) Sweet, acid,
pungent and
(6)
Sweet, acid,

bitter, (7)
Sweet,
saline,
pungent and
(8)
Sweet, acid,
bitter
and astiingcnt,
(91
Sweet,
saline,

(10)
Sweet, saline, pungent
and astringent, and

astringent
at
Sweet,
pungent,
bitter
and
these are
the ten combinations (taken four
a time and) beginning with
Madhma
(sweet)
Rasa.
(l) Acid, saline,
bitter
pungent and bitter, (2) Acid, saline, and astringent, (3) Acid, pungent, bitter and
astringent,
and (4) Acid,
saline,
pungent and astringent
these are the four

(acid)
this
is
combinations beginning with
Amla
taste, (r) Saline,
pungent, bitter and astringent
the only one combination beginning with
Lavana
(saline) taste.
Thus the
fifteen
different
combinations
(of the
six
Rasas) taken
four at a
time have been
enumerated.
taken
five at
Now we
a time.
shall
6.
speak of their combinations
Taken
five
five at a
time
:-Th:re would be
five
combinations (of the six Rasas) taken
at
time and beginning with the Madhura (sweet)
Rasa,
Chap. LXU1.]
UTTARA-TANTRA.
(acid)
saline,
39$
and only one with Amla

follows
(2)
:
Rasa.
They
are
as
(i)
Sweet,
acid,
pungent and
bitter,
Sweet, acid, saline,
pungent
and
astringent,
(4)
(3)
Sweet, acid, saline, bitter

acid, pungent,
saline,
and
astringent,
Sweet, Sweet,
bitter
and
astringent,
and
5)
pungent, bitter and
astringentthese are the

five at
five
combinations (of the six Rasas) taken
a time
beginning with Madhura (sweet) Rasa,

pungent, bitter and
astringent
is
(1)
Acid, saline,
the
only one
(acid
comRasa.
bination of the kind beginning with
Amla
five at
Thus the
six
combinations taken
a time have
been enumerated.
bination with
(all
Now wc
1 )
shall
speak of their com7.
the six at a time.

(of the
The combination
six at a time
this kind
is is
six Rasas)
taken
(all
the)
only one.
The only combination
of
(1)
8,
Sweet, acid, saline, pungent, bitter and
astringent.
Separately taken one at
a time,
the six
Rasas
will
be
(saline\ (4)
Madhura (sweet), (2) Amla acid\ (3) Lavana Katuka (pungent\ (5) Tikta (bitter and (6) Kashaya (astringent), 9.
(1)
,
Memorable Verse : Sixty-three

tions of the six different Rasas have been
combina-
enumerated
by the experts on Rasa and these sixty-three combinations should be prescribed by experienced physicians
with due regard to (the
aggravation or diminution of
ro.
one or more of) the (three) different Doshas.

Thus ends
the sixty-third chapter of the (Jttar^Tantra in the

different combinations of the
(six)
Sus'ruta
different
Samhita which deals with the

Rasas.
CHAPTEE LXIV.
Now we
with the
shall discourse
Rules
i.
of
on the chapter which deals Health (Svastha-Vritta-
adhyaya).
Health indicates a normal condition of the (three)
fire),
Doshas (fundamental principles), Agni (the digestive Mala (excrements via, feces, urine, etc)*, and the (seven) Dhatus or root- principles of the body mind and as well as a serene state of the body,
the
sense-organs.
It
has already been

the primary
stated
in
the
Sutra-sthana,
that
to
object
of
state
medical
(of the
treatment
is
maintain this healthy
body and
of the
mind)
in its
normal equilibrium.
be applied and
A
has
a
brief outline of the
means
to
of the
rules to be observed for the
realisation of that end,

shall
also
been given before.
Now we
enter
into
lengthy and elaborate dissertation on the subject.
2-3.
Regimen of diet and conduct VarSha (rainy) Season -Articles

:
in
the
of parti-
cular tastes which are remedial to the
specific
deranged
year in
bodily Dosha should be used
or
employed by experiof the
enced persons in the particular season
which the Doshas are respectively aggravated. The bodily Vayu, etc., of a person is generally aggravated during the Yarsha (rainy) season owing to a slimy
condition of the
organism, producing an impairment

as well as
goose-flesh
of the digestive
fire
on the
tastes
skin.
Articles of astringent, bitter
and pungent
a
should
therefore be
prescribed
for
king
of
and
king-like
for
personages
*
during
those
months
the year
Some
explain
etc.
'Kriya' separately aa the organic functions e.g. bleep
and awakening,
D.UIana.
Chap. LXIV.]
UTTARA-TANTRA.
397
correcting
(things
or remedying the altered slimy condition of

inside) the
which obtain
body, as well
as
for
mitigating the aggravation of the bodily Doshas.
The
<
food should be non-liquid and

(fatty or lardacious)
nor too
made neither too emollient Ruksha (dry), and should
be composed
of articles
making
(in
in their
potency.
which are appetising and heatWater for drinking should be

the rules laid
prescribed
according to
down
before
chapter
XLV,
if
Sutra-sthana),
or water,
in
heated and
subsequently cooled, should be taken

with honey,
air
is
combination
the sky
is
overcast with clouds and the
charged with humid vapours, making the water
consequently very cold.
5.
The
(rainy)
herbs and vegetables being newly grown in this

season,
arc
;
(over-juicy
and) consequently not

should, therefore, avoid
very easy to digest
a wise
man
the excessive use of physical exercise, water, dew, sexual

intercourse
indigestion).
and the
sun's
rays (which
might lead to
One
should,
in this season, lie
upon some
damp due to the emission of earthly vapours at this time. When feeling cold one should protect oneself from it with warm clothes and
higher place to avoid the cold
should
lie
inside a
room
free
from blasts of wind and
with
fire
burning within.
Fine
Aguru
should be used as
in
pastes,
this
and elephants should be used as conveyance

digested should be strictly avoided.
season.
Sleep at day-time and eating before the

is
previous meal
6.
Rules for
sweet
Autumn
tastes,
: Articles
of astringent, of
and
bitter
different
preparations
milk and of sugar-cane-juice as well as honey, S'd/iricc,

Mudg(i-pu\sc,
oil
and the meat of Jangala animals should
be used
in the
Autumn
this
(Sarat) season.
in this
All
kinds of
all
water are recommended

clear
season
as
they are
and pure at
time of the year.
Swimming
39$
tHE SUSHRUTA
in
SAMHITA*.
of
{Chap. LXIV.
.
and (immersion)
Vtpala (water
ponds
full
Kmnala
(lotus)
and
lily),
enjoying the moon's rays at dusk
and the use of sandal-pastes are recommended.

aggravation of Pitta
should,
in
in
The
season
the (previous)
rainy
this season,
be duly remedied by the use of
Tikta-Ghrita (.Chapter IX, Chikitsita sthana), by means of

venesection or
by
the use of purgatives. Tikshna (sharp-
potencied or pungent), acid, hot and alkaline articles (of

food) as well as the sun's rays, sexual excess and sleep
at day-time
and keeping
late
hours should be avoided.
Sweet and cold water and purified wine as transparent as

crystals are also
in this season
recommended.
it
All kinds of water are
washed, as
were, by the clear white rays
of the autumnal
moon and
being purified by the rising

clear
of the Agastya star,*
become very
and transparent
thin
clothes
and consequently
beneficial.
Clean and
scented with sandal-pastes or with
camphor as
well as
garlands of autumnal flowers should be worn,
and the
short,
this
Sidhu
all
class of
wine should be judiciously taken In
Pitta-subduing measures should be taken in

7.
season.
Rules for
Hemanta and winter

season
is
Seasons: The
dry (Ruksha).
very airy.
The sun
of Hemanta is cold but weak and the atmosphere is
Hence, owing to the outside cold, the bodily
Vayu
fire
The abdominal owing to the internal cold and dries up the bodily Rasa (liquid portion of the system); The
is
also aggravated in this season.

dull
becomes
use of oleaginous things
is,
therefore, beneficial
in
this
* The waters in the rainy season are generally muddy and impure. When, after the rains, the waters become purer, it is said in Hindu mythology that owing to the rise of Agastya (a star making its appearance in
the horizon after the rainsgenerally in the beginning of September) the
waters become clear and transparent.
Cbap. LXIV.]
UTTARA-T ANTRA,
use of saline, alkaline, bitter, acid
399
season.
The
and
pungent
articles of diet (prepared) with the addition of
clarified butter
or oil are beneficial.
Food should not

should be taken,
be taken cold, and drinks prepared with tikshna (hotpotencied) articles (such as strong wine
after
pasting
the body
all
over
with Aguru-pastes.
oil
Baths should be taken

all
in tepid
water after rubbing in
over the body.
Large inner apartments completely

all
surrounded by rooms on
sides
and containing
fire-
pots (serving the purpose of chimneys) should be

as
used
bed-rooms,
and
the
bed-sheets
should be silken.
Sufficiently
warm
coverings for the
body should be
lie
used.
Kings (and king-like personages) should
within
the sweet embraces of maidens with big
breasts
and
they
thighs and scented with the fumes of Aguru, and

can, in this season, enjoy
heart's
the sexual pleasures to their
content and should take proper soothing food.

bitter,
Sweet,
pungent, acid and saline articles of food
and drink, as well as Tila (sesamum-seeds), Mdska-puhe,

pot-herbs, curd, different modifications of sugar-cane-juice,
scented and newly husked S'dli-rice, flesh
of Prasaha,
Anupa, Kravyada,
Plava and Padin classes* of animals, as well as clear transparent wines and all other invigorating articles of diet
Bilcs'aya,
Audaka
(aquatic),
should be used to his content at the advent of cold by

a person wishing vigour (of the body and of the mind).
The
rules for
Hemanta enumerated above would hold

Sis'ira
equally good for the
(winter) season.
8-9.
RuICS for Spring :The

the
bodily
Kapha
al-
ready stored in the organism owing to the coldness of
bod during
the
Hemanta
season
is
aggravated
during the spring by the (increasing) heat (of the sun

* For a
see Chapter
list
of the
animals of the different classes mentioned here,
XLVI,
Sutra-sthana,*pages 480
&c,
Vol.
|.
4<X>
THE SUSIIRUTA SAMIHTX
[Chap. LXIV.
and consequently of the organism) and gives many diseases. Acid, sweet, demulcent and
articles of food
rise
to
saline
and drink as well as those that are

should, therefore,
heavy
(of digestion)
be avoided, and
etc.
recourse should
ricc,
be had to vomiting,
of
cold
,
Shashtika-
barley,
rice,
articles
potency,
Mudga-pulse,
Nivdra
after
and Kodrava-ncz should be duly prescribed the cold /. c. in the spring with the soup of the
of the Vishkira class, such as Lava,
meat of the animals

etc.,
as
well
as
with the soup of Patola, iWwSrt-lcavcs,

other
bitter
bringals
and
vegetables.
All
sorts of
Asava and
especially
the
A-ava and Sidhu prepared

in
from honey should be freely used

exercise should be
the spring. Physical
had recourse
to,
Anjana
(collyrium)
should be applied (to the eyes), strong smokes should be

inhaled and strong gargles used in the spring. Everything
should be used with tepid water and

of Tikshna (strong-potencied),
diet
consisting
Ruksha (non-demulcent),
pungent, alkaline, astringent, tepid and non-liquid articles
and especially the preparations of barley, Mudga pulse and honey would be beneficial in the spring. Physical
exercise in the shape of mock-fight, walk, or the throwing
of stones would be beneficial.
Utsadana (massage) and

to.
bath should be had, and groves should be resorted
Sexual
pleasure
may
be
enjoyed in
in
this
season.
The
bodily
Kapha
stored
the body
during the
llcmanta season should be eliminated by means of SiroVireka (crrhines), vomiting, Niruha-vasti and gargles,
etc.
Day-sleep and sweet, demulcent aud liquid articles
of fare as well as those hard to digest should be strictly avoided.

10.
Rules for
toil,
Summer : Physical
exercise,
{e.g.
hot and excessively drying articles of fare
those
prepared with pulses), as well as those abounding in
[Chap. LXIV.
UTTARA-TANTRA.
{e.
4*
heat-producing
gt
pungent, acid and saline) tastes
should be avoided in summer.

rivers as well as
Large tanks, lakes and
charming gardens and cold rooms should

finest (refreshing) sandal-pastes
lilies,
be resorted
to,
and the
and
garlands of flowers of lotuses and

palm-leaf-fans
soft breeze
from
and necklaces
(of precious
stones and
pearls) as well as light clothes should be used in
summer.
Sweet-scented
and cooling Panakas and Manthas with

Sweet, liquid and
clarified butter,
,
abundance of sugar should be used.

cold food
mixed with
(tasteful
and boiled milk
sweetened with sugar, etc

be found
should at that time
taken at night-time would

at that time.
and) beneficial
lie
One
full-
on a bed strewn over with
blown and fresh flowers in some palatial building with his body besmeared with sandal-pastes and refreshed by
cooling breeze,
ir.
Rules for PrsCvrit (rainy) season*

Articles of the three {vis.
*.
sweet, acid
and
saline)
oil,
heavy
Rasas as well as milk, tepid meat-soup,

butter,
clarified
and everything which is Vrimhana (fat-making) and Abhishyandi (secreting) in its nature are beneficial
after the
season.
end of the summer season i. e. The bodily Vayu which is liable

pacified
in
the rainy
to be aggra-
vated and which actually begins to aggravate in the
summer should be
subduing remedies.
River^water,
by wise men with Vayu-
12 A.
Ruksha (non-demulcent) and heatManthas prepared with abundance producing of water, the sun's rays, physical exercise, day-sleep and sexual intercourse should be avoided in this season. Old
articles,
barley, old Shastika-r'ux, old

*
first
S'dli-nct,
and old wheat

Of these
the
A period
of four months has been ascribed to the rains.

are ealled Pravrit, and the last
two months
two Varsbaboth meaning
the rainy season.
See chapter VI, Sutra-stbana.
51
402
THE SUSRUTA SAMHITA

lie
[Chap. LX1V.
should be used as food, and the bed to

stretched inside a room where there and should be covered over with a
is
upon should be
blast
no
of wind
soft bed-sheet.
The
rain-water (in and after
its
descent on the earth) becomes
poisoned with the excretions, urine, salivation, sputum,

etc.,
of poisonous animals as well as with the poisonous

;
its use should, atmosphere peculiar to the rainy season therefore, be strictly avoided in this season. The
naturally aggravated bodily
Vayu (in
this season) should

(t.e.
be duly pacified, or the rules for Varsha
the rainy
r
season) should be duly observed in this season*,
2.
Whoever observes
these rules for the different seasons
of the year does not suffer from the evil
consequences
due to the change of seasons.
1 3.
Different kinds of food : Now we

They
are -Cold, hot,
shall
deal with the twelve different kinds of food (and drink).
Snigdha
(demulcent),
Ruksha
(non-demulcent), liquid, dry, taken once a day, twice a day, taken with medicine, taken
in smaller quantity,
taken for the pacification of (any aggravated Dosha) and

taken for subsistence.
Persons
afflicted
14.
thirst,
with
heat, alcoholism,
burnfits
ing sensation, Rakta-pitta, poisoning and

as well as those
suffering
epileptic
from the
effects
of sexual
excess
should be treated with cold food (and drink)
while persons afflicted with the aggravation of bodily
Kapha and Vayu
as well as those already
treated
with
of
purgatives or Sneha and those whose bodies are
full
Kleda (physical moisture) should be treated with

food (and drink). 15-16.
warm
Persons suffering from the aggravation of bodily
Vayu and from a parched (Ruksha)

*
condition
in as
of the
as Jejjata
The whole
of this Para
is
an interpolation
much
dots not read this.Dalian*.
Chap. LX1V.]
UTTARA-TANf RA.
403
body as well as those suffering from the effects of sexual excess and those accustomed to physical exercise
should be treated with Snigdha food (and drink)
persons with an excess of bodily
well as those suffering from
;
while
as
Medas and Kapha
Meha and
those previously
treated with a
(or
Sneha should be treated with Ruksha

17-18.
non-demulcent) food and drink.
Weak, parched and thirsty persons should be given Drava (liquid) food while those suffering from Meha
;
and ulcers as well as those whose bodies arc
full
of
Kleda (bodily moisture) should

juicy)
be given dry (non-
food.
Persons with
impaired digestion should
be given only one meal every day, so that the digestive

fire
may
have opportunities
to)
be rekindled
of
while
persons with the proper
amount
19-20.
digestion should
be given two meals a day.
Medicine should be given with food and drink to

a person
averse
to
it,
while food and drink in smaller

beneficial
quantity
would
be
to
persons suffering
from
impaired digestion or any other disease. Food and drink administered with due regard to the bodily
Doslias
is
of food
called Dosha-pras'amana while any kind and drink taken for the preservation of life by
;
healthy person would
be called Vrittayrtha food

different kinds of food
and drink. and drink.
These are the twelve

21-22.
Proper times forthe administration

Of Medicines :We
specific times
{*".
shall
now speak
of the ten
e.
proper occasions) fdr the administra-
tion of medicines.
They are
Nir-bhakta, Prag-bhakta,
Adho-bhakta, Madhye-bhakta, Antara-bhakta, Sa-bhakta,
Samudga, Muhur-muhuh, Grisa and Grasantara. 23. Of the above medicines what is applied alone (with or without some vehicle but not with any food
404
or drink)
is
THE SUSRUTA SAMHITA

called
[Chap. LXIV.
Nirbhftkta medicine.
medicine
not applied with any food ^but applied by
itself
with or
without any vehicle) would have greater
effect
it is
and would
;
soon and certainly destroy the disease
applied in
but a medicine should not be applied in this

child,
way
to a
an old man, a young

it
woman ^nd
cases).
persons of mild
temperament, for
is
likely to
produce lassitude and

24.
weaken the patient
(in
such
medicine taken
is
(in
an empty stomach)
just before
in
a meal,
called
is
Prrfgbhakta.
easily
medicine taken
such a manner,
digested, does not lead to

is
any
diminution of strength and
not ejected out of the
mouth owing
to
its
being covered over with the meal,

it
On
the other hand, taken before the meal,
adds to the
old
bodily strength and proves the most convenient form in
which a medicine can be administered

infants,
to
men,
females and persons
of timid disposition.
is
medicine taken just after a meal

It
called
Adhobhakta.
conquers diseases which affect the upper part of the

gives strength in
body and
many
ways.
25-26.
is
medicine taken in the course of a meal
called
Madhyebhakta.
fails to
medicine taken
all
in
this
manner
be diffused
through, the organism and

in
hence proves beneficial only

are confined
to
those ailments which

of
the
middle part
the
(*. e.
body.
after
is
A
the
medicine taken between the two meals
morning-meal but before the evening-meal)
called
Antaribhakta.
every respect.
called
*
It is
invigorating to the mind, greatly

is
appetising and Hridya (agreeable) and
beneficial
in
is
medicine applied with* any food

It is
Sabhakta.
most convenient to administer

may mean a medicine may mean that the meal
prepared
is
"A
medicine applied with food"

;
before
and taken with the meal
or,
it
cooked
(while being prepared) with the medicines to be applied.
Chap. LXIV.]
UTTARA-TANTRA.
with
food
well
in
40$
old and
a medicine
cases
in
of female,
infant patients as
as
cases of those averse to
taking any medicine.
27-29.
A
close
medicine taken at the beginning and again at the

of a
meal
is
called
Stfmudga.
This form of
administration
is most beneficial in cases where the deranged bodily Doshas take both the (upward and
downward)
cither with
courses.
medicine taken at
is
intervals,
or
is
without food,
called
Muhurmuhuh.
This mode
to be adopted in
severe cases of asthma,
ccugh, hiccough and vomiting.
medicine taken with

Gorafoa.
every morsel (Grasa) of food
is
called
In this
form the medicine

for increasing the
in
the shape of a powder is administered

in
appetite
cases
of
weak
patients.
Vajikara (aphrodisiac) medicines

ministered in this form.
alternate morsel of food
are also better ad-
A
is
medicine taken with each
called Gra'saotara
Emetics
should
and Dhumas as well as the well-known and well-experi-
mented lambatives
for
cases
of asthma
be
administered in this form.
These are the ten proper

30-33.
occasions for administering medicines.
Proper time
for
taking food :The

when he and feels his body
is
proper time for giving diet to a patient

gets free stool, urine and
eructations,
free,
and sense-organs light and

(Apana) Vayu, when he
when he
gets free actions

of his bodily
feels
of the heart as well as natural

feels
courses
hungry (D. R.
easy)
and has got
relish for
food and when his Kukshi (belly)
becomes light (i. e. when his belly appears to be empty on account of hunger). 34.
Thus ends
the sixty-fourth chapter in the Uttara-tantra of the Sus'ruta-
Sambitt which deals with the Rules of Hygiene.
CHAPTER LXV.
Now we
shall discourse
on the chapter which dea's

in this treatise
with the technical terms used
(Tantra-
Yuktf-Na'ma-Adhyaya). i. Names of the technical terms:

There are thirty-two technical terms
in
this
Treatise.
They are (i)

(j)
Hetvartha,
Adhikarana, (2) Yoga, (3) Padartha, (5) Uddesa, (6) Nirdes'a, (7) Upades'a,
Atides'a, (it)
(8) Apades'a, (9) Pradcs'a. (10)
Apavarga,
Viparyaya,
(12) Vakya-s'esha,
(13J
Arthapatti,
(14)
(15) Prasanga, (16)
Ekanta, (17) Anekanta, (l) Purvapaksha, (19) Niraaya, (20) Anumata, (21) Vidhana, Atikranta-vekshana, An^gatA-vekshana, (22) ( 23 )
(24)
Sams'aya,
(25)
Vyakhyana,
(26)
Sva-samjna,
(27) (30)
Nirvachana,
(2S)
Nidars'ana,
(29)
Niyoga,
2.
Samuchchaya,
(31) Vikalpa,
is
and (32) Uhya.

of the
Necessity : What
of these technical
the necessity
use
terms (Tantra-Yukti) ? The answer is For connecting words together, i. e., making up sentences and giving a sense or meaning to them. 3.
Memorable verses : By the use of technical

terms
in a .scientific treatise
the points of argument of
the opposite party are frustrated
and the points of one's
own argument
are established.
The meanings
is
of the
words, whether clearly used or not, whether direct or

indirect, or partially used, if there
any such,
in the
treatise are also

cal terms).
made
distinct (by the use of the techni-
Just as the sun
shows a
a
cluster of lotus
and a lighted lamp
(the inside of) a

in
room
4.
at their best,
so the technical terms used

i. e.,
treatise clearly
show
explain the intended meaning.
Chap. LXV.]
UTTAKA-TANTRA.
407
Of
these terms
is
Adhikarana
spoken
of.
is
the subject about
which something
subject of
)
For example
on
5.
(the
Rasa or on
(the subject of) Dosha.

is
The term "Toga"

together.
the union of words or sentences
For example
Nimba,
an
oil
duly
cooked
with
Amrita-valli,
Himsrd,
Abhayd,
Vrikshaka,
Pippali,
the two kinds of Bald and
with Devd-ddru
efficacious in
should be prescribed for drinking as being

all
cases of Gala-ganda.
*. e.
pivet'
should be cooked
is
Here the main idea is 'Siddham and taken internally but

;
the word 'Siddham'

hemistich, far
used in the
first
half of the second
away from
is
the word 'Pivet' in the sentence.
This combining together of the different words, however

distant in a sentence,
called a
Yoga.
6.
The term "Padartha" is the meaning implied by word or an aphorism (*. e. a sentence). Padarthas are
in
;
innumerable.
when used
meanings
For example Sncha, Sveda, or Anjana, a sentence, would each imply two or three
but only one meaning which tallies with the
use of the previous or subsequent
word
(in
in
e.
the
text)
should be understood in each case.

tence "Vedotpattim
Thus,
*'.
the sen-
Vyakhya syamah"
of the
'Veda',
we
use
shall
discourse on the origin
the
of the
word "Veda" would put the hearer at a loss to understand which of the Vedas is going to be discoursed on,
for there are several
Vedas, viz Rigveda,

,
elc.
But when
with
we
try to understand the expression in connection
the previous or subsequent the root

'vid'
use of the
expression - for
may mean
either
'Vichafana' (discussion)
or 'Vindati' (to get) we can

conclusion that the subject to
afterwards
come
to
the
is
be discoursed
upon
the origin of Ayurveda.
This
is
what
is
meant by the
implied
term Padartha.
7.
is
Jletwartha
the meaning indirectly
by a

408
word.
so

For .exampleas earth
ulcer
is is
[Oup. LXV.
moistened by water,
an
moistened (and consequently secretes) by

8.
(the taking of) Mds/ia-pu\se, milk, etc.
Udderfa
is
the statement in
Jjalya (ordinarily
For example any foreign matter but secondarily

brief.
9.
implying any obstructing matter in the body).
Nirdesa
"âlya"
is
is
the statement in detail.
of
two
kinds
10.
"Sarira"
For example (idiopathic) and
"Agantu" (traumatic).
Upaderfa
is
an instruction for the doing of a thing For example one thould not sit in a particular way. and one night should give up sleep at the at up 1 1. day time.
Apades'a
it
is
the statement of reason.

is
For example
increased
has been specified that Sleshma
by the
use of the articles of sweet taste.
1 2.
Fradesa is the determination of a present action from past events. For example Devadatta's >alya has
been extracted by
will also
this person, hence Yajnadatta's Salya

1 3.
be extracted by him.
is
some future event present some event. For example one's bodily from Vayu courses upwards by such and such an action,
Atiderfa
the determination of
hence one
may
get (an attack of Vataja) Udavarta

14.
by
such an action.
Ipavarga
thing)
is
the extraction
*. e.
exception of (some-
from something more comprehensive or extended, that is to say, it is an exception to the general rule. For
example
suffering
fomentation should not be

from the
effects
applied to persons
of poisoning excepting those

1 5,
suffering
from insect-poison.
VtCkya-rfeslia is
the word the absence of the use
make the sentence incomplete. For example -when we say of the head, the hands, the legs,
of "which does not
Chap. LXV.J
UTTARA-TANTRA.
the
409
(
the stds, the back,

chest"
it
abdomen
Udara
and the
becomes evident that these

16.
(parts) of a 'person'
are intended.
Arthapatti (presumption' is the term used when the sense (of a sentence), though not specifically mentioned, can
yet be
indirectly
presumed or
to
deduced.
'this
For
example* when one says

can be taken,'
it
another
rice
is
(solid food)
becomes evident that
he
17.
not willing to drink a (liquid) Yavagu or gruel.
Viparyaya
words used
ciated,
(in
(reverse)
is
the
term
used whetx the
a sentence) convey quite a different or
opposite sense. For example,
-when
persons
it is
said that 'ema-
weak and
vis.,
frightened
are very difficult
to be
medically treated', the opposite sense becomes

that strong,
evident,
and
such-like persons are

18.
very
easy to be medically treated.
Prasanga (connected reasoning) is the term used when a different subject is introduced at the end. It is also the term used when the same sense is repeated in different words in different places (in the same topic). For example it is said in the chapter on Vedotpatti
(Chapter
I,
Sutra-Sthana)
that
"Purusha"
(liv'ng
organism)
five
is
the sum-total of the "Maha-bhutas"' (or the

fire,
primary elements vis., earth, water,
air
and
ether) and the Hariri (or the soul), that
medical treatis
ment should be made of him (Purusha) and that he

the subject matter of every action)
;
and
it
has
been
repeated in the
that
chapter on
Bhuta-vidya (demonology)
'
the Purusha has therefore been

five
said
to be
the
combination of the
*
Maha-bhutas and the soul and

Arthapatti (presumption) in Sanskrit
The common example

is
of an
philosophy
'Pino Devadatto divi
na bhumkte,'
it
{*. .,
Pat
Devadajia
does not eat
at day-time),
from which
is
evident that he certainly eats

fat.
at night, otherwise he could not
have become
52

4l6
that he
is
THE SUSHKUTA SAMH1TA.

the subject-matter
19.
is
[Chap.
LXV-
of
all
sorts of medical
treatment.
Ekrfnta
certain
in
the term used to denote a thing which
is
every case.
For example
Trivrit causes
20.
in
purgation, and Madana-iruit produces vomiting.
Anekffata
is
the term
used to denote certainty
some cases and uncertainty in some other cases. For example many authorities hold that 'Dravya' or the
thing
itself is the principal factor, some hold the Rasa' or taste (in a thing) to be- the principal factor, some
again hold the "Viryya" or potency

factor
to be the principal and others hold "Vipaka" or digestive reaction

21.
to be the principal factor.
Purva-paksha
is (the
putting of) a question with an
apparent objection.
For example (the question why

22.
are the four kinds of Vataja-Prameha incurable.
Nirnaya is the reply to a Purva-paksha For example the (bodily) Vayu affects
(the
or question.
i.e.
spreads
over the (whole) body and then forces the urine through
Vasa (greasc\ and Majjan (marrow). The Vataja cases (of Prameha) arc, therefore, incurable. As has been said the (bodily) Vayu affects * /. spreads over the
passage with the (vitiated bodily

(fatj
Medas
whole body and coming
in
contact w ith the (bodily]
Medas
(fat),
Majjan (marrow) and Vasa (grease) becomes
vitiated
and courses downward.

are, therefore, incut able.
is
The Vataja
23.
cases (of
Prameha)
another
Annmata
is
the
term
used
(quoted but) not refuted.
when an opinion of For examplesome

Rasas or
be
tastes.
authorities hold that there
are seven
(Now, as
this is not refuted it is said to
Anumata
or
by the author). 24. Vidhina is the act of mentioning, at the beginning, the fact to, be established. For examplethe vulnerable
sanctioned
Chap. LXV.]
UTTARA-TANTRA.
(Marmans)
this
411
in
or vital
parts
in
the thigh are eleven
number,
and
has
already
been
stated
to
be
established.
25.
is
AnrfgataVekshana
dealt with hereafter'.
the term u<ed
when something
'this
in the future is referred to in
such terms as
will
be
in
For example
will
it
can be said
the Sutra-sthana
sthana'.
26.
'it
be dealt with
in the Chikitsita-
Atikrtfntavekshana
thing in the past
is
is
the term used

to.
when some-
referred
For example
'it
it
can
be said
in
the Chikitsita-sthdna
27.
has already been
said in the Sutra-sthana'.
Samrfaya
opposite
is
the term
used when
subjects
and
legs)
dissimilar
examples of two are cited. For

in
example
the leg
hurt to the
is
Tala-Hridaya (Marmans
;
the
hands and
is
fatal
amputation of the hand and of

description
not
fatal.
is
28.
Vy&hyrfna
the details.
the
or explanation
of
For example Purusha as
the twenty-fifth
factor has been dealt with in this book.
While only the

have been
twenty-four factors constituting this body

dealt with in other
works
29.
Sva-samjna' denotes the specific terms specially used

in
example the term 'Mithuna'

the two things,
vis.,
is
any work and not in common with any other work. For (in medical works) means
honey and
in
clarified butter.
is
30.
UdaTiarana*
lished
the example of what the

world.
well-estab-
or well-known
For example
But
it
Udahnrana has been recognised here as a technical term.

not
sho.uld
have
list
been
(see
recognised
2),
as such,
it
since
so,
it
has not been
included in the
para
Had
been
the
number would
the
portion
have been 33 and not 32.
Dallana prefers
to
tix
regard
after
'ril'TOWl
etc- as
an interpolation and adding a

takes j'
the sentence
^% Mfafl*j<l3<.V)t(
in continuation of the
example of qftî
4T2
[Chap.
LXV.
cooling measures should against warmth.

'.31.
be had recourse to to guard
Nirvaphana is the derivation of a term. For example Ayus (life) is the -Subject-matter,, of this work, and a man gets (the means of) Ayus (longevity) from this work and hence it is called Ayurveda. 32. Nidarsana is the term used when the meaning (of a word or sentence) is supported by example?. For examplejust as the (digestive) fire in the Koshtha
(abdomen) increases
in contact
with (the local bodily)

assisted
Vayu, so also an ulcer increases when (bodily) Vayu, Pitta and Kapha. 33.
by the
Niyoga
a duty.
is
the enjoining
of something to be done as
is
For example only what

34.
is
beneficial (Pathya)
should be taken.
Sanrachchaya
nected but
the joining (of two or
independent ideas) as such and such*

the group of flesh, (those
example in
more conFor of) Ena and
Harina (two kinds of deer), Lava and Tittira (two kinds of birds) and Saranga (spotted deer) are the principal
ones.
35.
to
Vikalpa is the term used when something is said be this or that, i. ., when alternatives are used. For
or
exampleeither meat-soup
with
clarified butter (should
Yavagu
(gruel)
cooked
be
used in such and such
case).
36.
is
Uhya
nitely
the term used
when something more can

defi-
be understood by an intelligent man, though not

used.
For example
is
it
has been said
in
the
chapter on
Anna-pana-vidhi (Chapter
XLVI,
Sutra-
Sthana) that
Anna
(food)
of
that
four
the
kinds, vis.,(t)
in the previous para.
His meaning
is
word fifEir being not

is
found in the sense referred to in para. 30, the reader

popular example.
aBked to find out a

Chap. LXV.]

(masticable) or the solid food
4*3
that has to be
(edible) or
Bhaksbja
bitten with the teeth before eating, (2)
Bhojya
the solid food
proper
(3)
i. e.,
which has not
W be bitten
with the teeth,
Lehya
(lambative) or the semi-liquid
food that has to be licked like an electuary, and (4)
Peya
drunk
(drink) or the liquid

;
food proper that has to be

{vie.,
but of these four kinds, two kinds only

(in
Anna and Paniya) have been mentioned

the chapter).
naming
Here
it is
(said that the other
two kinds)
are) understood.
For,
when only two
arc mentioned in
of, all
respect of food
and drink, the inclusion
the "four
therein
is
'
easily comprehended.
And why?
'
Because
the term
Bhakshya
'
is
included in the term

vis.,
Anna
'
both being of the same kind,
solid
food
and the
term 'Lehya'
is
included
,
in
the term
'Peya' both
the articles of
being of the same kind, viz

food,
liquid.
And
though they are really of four kinds, are usually

in
spoken of
the
,
common
and
language as being of two

17.
kinds only {vh
solid
liquid).
Here have been
fully described
by me the thirtyinto
two
is
technical
terms for
the
investigation
the
essence of this Tantra (work).

fully
The
intelligent
man who
conversant with these technical

lights,
termswhich
work
like
as
it
were,
is
to be regarded as the
greatest physician and to be held in great esteem.

is
This
what the Sage Dhanvantari

Thus ends the
sixty-fifth
says.
38.
chapter of the Uttara.T^ntta in the Sus'ruta.

ift
Semhitf which deals with the technical terms used
this
work
CHAPTER LXVL
Now we
with and)
is
shall discourse
on the chapter which (deals
called the different modifications (combi-
nations) of the different Doshas Dosha-Bhedavlkalpa-na'fna'dhya'ya.
Revered
Sus'ruta,
the son- of Vis'vamitra, asks (the
following to) the high-minded Divodasa, well-versed in

all
the eight divisions of Ayurveda, with intellect sharp
and a9 deep as an ocean, as it were, and with all the difficulties in the meanings of the Sastras fully solved. The question is It has been already said that there
are sixty-two* varieties of the Doshas, but
divided
time'
?
how
are they
when taken
23.
hearing his
all
one,
two or
all
the three at a
On
word the great

his difficulties
sage
(Divodasa) with
solved
and king was greatly

to
pleased and thus narrated

Sus'ruta.
4.
the
true
conditions
The
urine
three Doshas, the (seven) Dhatus,

in
feces
and
these,
their
normal state, hold together the

Rasas
corporeal frame in
conjunction with the (six

5.
necessary (for the constitution).
Puruha or
human body
has
sixteen
sub-strataf.
The PrAnas (vis. the organs of sense) are eleven in number while the number of diseases is one thousand one hundred and twenty and that of elementary sub*
The
reference
is
to
chapter LXIII, but
there
the
number
is
sixty-three
in
their
all
and not sixty-two.

state,
The
three
Dh&us Vayu,
state,
Pitta
and Kapha,
normal
cannot properly be called
Doshas.
is
The
to
state in
Which
the three Dhilus are in their normal
said
be the
6jrd. combination (see also para. 8 below).

t
The
sixteen sub-strata are the five elementary principles, (viz
Earth,
Water, Fire, Air and Ether) and the eleven sense-organs.

Chap.
LXVt]
UTTARA-TANTRA.
is
^t$
stances (Dravya)
five
hundred and seventy-three, -
these have already been explained in detail.

qualities (vis., Sattva,
The
three
Rajas and Tamas) have also been
{vis.,
in connection with the (three) different Doshas Vayu, Pitta and Kapha) which are generally said to have sixty-tw combinations. 6 8.
explained
Different Co'mblnationsof
The
tions,
Doshas :
Taken
three
viz.,
Doshas
separately
where one of the and the other two are in their normal
have three combinaDoshas is aggravated

state.
two at a time, both of them aggravated, whether equally or unequally (with the third in its normal state), the
number number
of combinations
would be nine
while the
of combinations would be thirteen if they are taken three at a time all of them aggravated, both
equally and unequally (thus
with the aggravated Doshas).
making twenty-five in all With an equal number of
combinations in cases of the diminution of the Doshas

(taken one, two or three at a time)
nations.
we have
fifty
combi-
two and three at a time) with the aggravated and diminished Doshas mixed together would be twelve only. Thus making sixty-two in all. 9
one,
The number
of combinations (taken
The number
of combinations,
It,
when mixed
together,
would be innumerable.
therefore,
behoves a physidiagnosing
cian to treat a patient with
the different combinations
of the (six different) Rasas after properly
the disease with a due regard to the aggravation, of the

different
details.
Doshas and without going into any

In ameliorating a disease, the physician
effect
further
is
the the
doer of that action the
whereof
is is
health and
instruments with which the action
performed are
the Rasas while the Doshas are the causes.

site
The oppo-
hereof
is
want of
health.
10.
4*6
THE SUSHROTA SAMHITX

Uttara-Tantra,
enriched with
[Chap.
LXYI.
The
the
sixty-six
chapters wherein have been described and explained the

order of the words and their meanings, and wherein
have been explained very clearly the hidden meanings of the terms for making them clear to persons of weak intellect, has thus been duly explained to you in accordance with your question.
this
1 1.
*
Persons reading, according to the

treatise
rules
laid
down,
together with the Uttara-Tantra coming
from (the mouth of) Brahma himself, are not abondoned by their wished for objects, that is to say, they are sure
to obtain
true.
12.
them.
This word
of
Brahma
is
perfectly
Thus ends the
sixty-sixth chapter
is
of the Uttara-Tantra in the Sus'ruta-
SamhlU which
(deals with and)
called the different combinations of the
different Dosfaas.
Here ends the Uttara-Tantra.
THE END

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a'Kfri!

THE SUSHRUTA SAMHITA

THE SUSHRUTA SAMHITA

KAVIRAJ KUNJA LAL MI1SHAGRATN A,

KASHI GHOSE'S LANE, CALCUTTA

PRINTED AT THE BHARAT M1IIIR PRESS BY

Messrs. SANYAL & Co., 25, ROY P.AGAN STREET, CALCUTTA.

Kaviraj Kunja Lall Bhishagratna, M.R.R.S. (Lond.)

was some years ago that we took upon ourof bringing

selves the rather ambitious task

mention that the appreciation

home and abroad

desire to record here

of gratitude towards His

Highness the Maharaja

Alwar (Rajputana), who

donation, enabled us to bring this

out India that the

a great patron of letters and a lover of Ayurvedic

and many noble undertakings

country have depended

words of mine can adequately exis

admiration for the good he

that the whole

before the public,

worth and importance

translation does not claim to

ary excellence, as our sole aim has been to render

could the original into one

Sushruta Samhita cannot

cases put within brackets such

West a scientific treatise may only mention that

Hindu system of medicine mere antiquarian interest. It

and even to-day millions of people

system which has stood the

against rival systems of

the day, cinnot be lightly brushed aside as wholly

has been said

not yet risen above prayer in world,

faith in the efficacy of

instead of dying out,

Whatever that Hindu medical men,

like their brethren of

prayer also as an efficient form of remedy.

recognising the influence of mind on body, and the

efficacy of faith in certain forms of

as a special method, falling

within the province of priests.

or old, have received

than a mere stimulus

some modern men of

cannot be accused of having any bias in favour

Surgeon General Sir Pardey

course nf his speech

recent years are merely re-discoveries of the facts

very work, the

Medical Journal observed in

hope that now that

System and the Indigenous Drugs of

country arc being investigated by

under the direction of the Government

system of Medicine and

attract the attention of those

have hitherto neglected